Individual
JASON JEROME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
7085 NW BEACON SQUARE BOULEVARD BUILDING 1, BOCA RATON, FL 33487
(954) 551-8268
Mailing address
3113 NW 126TH AVE, SUNRISE, FL 33323-6302
(954) 551-8268
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
090302072
FL
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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