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Individual

JASON C. GIFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
6006 49TH ST N STE 310, SAINT PETERSBURG, FL 33709-2149
(727) 527-9779
(727) 522-0415
Mailing address
6006 49TH ST N STE 310, SAINT PETERSBURG, FL 33709-2149
(727) 527-9779
(727) 522-0415

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9110358
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200617250A
KS
Enumeration date
08/24/2009
Last updated
02/10/2022
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