Individual
JASON BRENT STANSBERRY
Active
Individual
JASON BRENT STANSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1821
CO
207R00000X
Internal Medicine Physician
46515
CO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME104258
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME104258
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005479300
—
FL
01
—
ME104258
MEDICAL LICENSE
FL
Enumeration date
02/12/2008
Last updated
04/20/2023
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