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Organization

PRIMARY CARE AT HOME OF FLORIDA PLLC

Active
Other names
Jason C. Cardillo
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON CHARLES CARDILLO (DNP)
(813) 368-5494
Entity
Organization

Contact information

Practice address
5949 NW 24TH CT, MARGATE, FL 33063-1952
(954) 621-8980
Mailing address
6295 W SAMPLE RD UNIT 670783, CORAL SPRINGS, FL 33067-5142
(954) 621-8980

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1316472483
NPI JASON CARDILLO
FL
Enumeration date
06/16/2021
Last updated
09/29/2021
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