Individual
DR. JASON ELLIOTT BLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-1334
(352) 273-9000
(352) 392-8413
Mailing address
PO BOX 100265, GAINESVILLE, FL 32610-0265
(352) 273-9000
(352) 392-8413
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
MD457008
PA
207T00000X
Neurological Surgery Physician
Primary
ME131977
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021106400
—
FL
Enumeration date
05/20/2010
Last updated
03/29/2021
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