Individual
BETH BELOF JASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13421 FISHHAWK BLVD, LITHIA, FL 33547-3833
(813) 844-8600
Mailing address
13421 FISHHAWK BLVD, LITHIA, FL 33547-3833
(813) 844-8600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME79033
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013376800
—
FL
Enumeration date
12/17/2006
Last updated
01/29/2015
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