Individual
DR. JASON STEELE PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
86 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 843-5270
(321) 843-5177
Mailing address
86 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 843-5270
(321) 843-5177
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME117830
FL
207RP1001X
Pulmonary Disease Physician
ME117830
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025071400
—
FL
01
—
NTT2D
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/18/2012
Last updated
09/20/2021
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