Individual
JASON FEATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12957 PALMS WEST DR, BLDG 9, SUITE 101, LOXAHATCHEE, FL 33470-4932
(561) 795-5979
(561) 795-9460
Mailing address
14400 NW 77TH CT STE 102, MIAMI LAKES, FL 33016-1590
(305) 823-7768
(305) 823-2211
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS8832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004329700
—
FL
Enumeration date
12/13/2005
Last updated
01/09/2021
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