Individual
DR. JASON ANTHONY EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5420 LAND O LAKES BLVD, SUITE #104, LAND O LAKES, FL 34639-3401
(813) 528-8999
(813) 528-8997
Mailing address
449 S 12TH ST, APT 1201, TAMPA, FL 33602-5606
(813) 528-8999
(813) 528-8997
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN16709
FL
Other
Enumeration date
10/24/2007
Last updated
10/24/2016
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