Individual
JASON SCHWARTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2125 N LAKE AVE, LAKELAND, FL 33805-5012
(863) 413-4100
Mailing address
2125 N LAKE AVE, LAKELAND, FL 33805-5012
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AL2673
FL
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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