Individual
DR. JASON TIA ATIENZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32 W GORE ST, 5TH FLOOR, ORLANDO, FL 32806-1134
(209) 566-3292
(321) 943-6658
Mailing address
32 W GORE ST, 5TH FLOOR, ORLANDO, FL 32806-1134
(209) 566-3292
(321) 943-6658
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
A86516
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME 116489
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009173800
—
FL
01
—
ME116489
MEDICAL LICENSE
FL
Enumeration date
07/10/2006
Last updated
04/04/2025
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