Individual
DR. JEFFREY DIMASCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
14546 OLD SAINT AUGUSTINE RD, BLDG A SUITE 317, JACKSONVILLE, FL 32258-5468
(904) 739-7779
(904) 739-7771
Mailing address
7015 AC SKINNER PARKWAY, SUITE 1, JACKSONVILLE, FL 32256
(904) 363-2113
(904) 363-2606
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
OS 9460
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16028A
BCBS
FL
05
—
272676900
—
FL
01
—
299129
AVMED
FL
01
—
7799487
AETNA
FL
Enumeration date
06/16/2005
Last updated
06/06/2013
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