Individual
DR. HUGO M JASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12780 RACE TRACK RD, SUITE 205, TAMPA, FL 33626-1395
(813) 792-8878
(813) 443-8171
Mailing address
PO BOX 743409, ATLANTA, GA 30374-3409
(727) 532-0002
(727) 532-1325
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME113748
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007904600
—
FL
01
—
14NJ5
BCBS
FL
01
—
9763896
AETNA
FL
Enumeration date
06/18/2009
Last updated
11/09/2015
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