Individual
JASON A LEADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
603 N FLAMINGO RD, SUITE 258, PEMBROKE PINES, FL 33028-1023
(954) 430-2343
(954) 438-2983
Mailing address
603 N FLAMINGO RD, SUITE 258, PEMBROKE PINES, FL 33028-1023
(954) 430-2343
(954) 438-2983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9101468
FL
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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