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Individual

MR. JASON ANTHONY MATEJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2727 W MLK JR BLVD, SUITE 450, TAMPA, FL 33607-6002
(813) 875-8453
(813) 877-2972
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 528-4975

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9104186
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01384113
R&R MEDICARE
FL
Enumeration date
08/30/2006
Last updated
01/09/2015
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