Individual
DR. JASON GHASEMLOIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-2052
(239) 343-5348
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2052
(239) 343-5348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
321241
NY
208M00000X
Hospitalist Physician
0102209532
VA
208M00000X
Hospitalist Physician
Primary
OS20939
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123007100
—
FL
Enumeration date
03/24/2021
Last updated
11/13/2025
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