Individual
DR. JEFFREY WAYNE RASBAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1200 7TH AVE N, ST PETERSBURG, FL 33705-1300
(727) 825-1100
Mailing address
PO BOX 919379, ORLANDO, FL 32891-9379
(844) 453-1406
(772) 621-3180
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS14500
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020737400
—
FL
01
—
1NE3S
FL BCBS
FL
01
—
KD088
FL MEDICARE PTAN
FL
01
—
P02051001
FL RAILROAD MEDICARE PTAN
FL
Enumeration date
05/25/2012
Last updated
01/13/2025
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