Individual
MR. JASON BARRY OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
226 W 8TH AVE, TALLAHASSEE, FL 32303-5505
(863) 944-4564
Mailing address
226 W 8TH AVE, TALLAHASSEE, FL 32303-5505
(863) 944-4564
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA49109
FL
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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