Individual
DR. JASON M. BUCHWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
703 N FLAMINGO RD, PEMBROKE PINES, FL 33028-1006
(954) 436-5000
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME90639
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269989300
—
FL
01
—
47323
BLUE SHIELD OF FL
FL
Enumeration date
06/22/2006
Last updated
12/14/2023
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