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
Update your record
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