Individual
DR. JASON EXTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8900 N KENDALL DR, MIAMI, FL 33176
(786) 596-1961
Mailing address
PO BOX 919336, ORLANDO, FL 32891-0001
(800) 841-4236
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME 132130
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2011
Last updated
08/25/2018
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