Individual
JASON DANIEL SMOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
483 N SEMORAN BLVD, SUITE 103, WINTER PARK, FL 32792-3800
(407) 680-2273
(321) 274-0224
Mailing address
483 N SEMORAN BLVD, SUITE 103, WINTER PARK, FL 32792-3800
(407) 680-2273
(321) 274-0224
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1094
NE
363A00000X
Physician Assistant
Primary
PA9107856
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012418200
—
FL
Enumeration date
06/26/2008
Last updated
06/16/2016
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