Jason Andrew Boardman in Ocoee - Surgery
Jason Andrew Boardman - NPI 1174745962
Jason Andrew Boardman is a Surgery in Ocoee, Florida. Jason Andrew Boardman practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jason Andrew Boardman is 1174745962. The last update date is 2012-02-01.
Jason Andrew Boardman's current location address is 10000 W Colonial Dr, Ocoee, Florida. You can contact this provider via phone number 4075213600 and fax number 4075213603. The mailing address for Jason Andrew Boardman is 10000 W Colonial Dr, Ocoee, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Andrew Boardman |
|---|---|
| Address | 10000 W Colonial Dr, Ocoee, Florida |
| Phone Number | 4075213600 |
| Fax Number | 4075213603 |
| Sole Proprietor | N |
| Credentials | M.D |
NPI Number Detail
| NPI Number | 1174745962 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2012-02-01 |
Provider Mailing Address Detail
| Address | 10000 W Colonial Dr |
|---|---|
| City | Ocoee |
| State | Florida (FL) |
| Post Code | 347613400 |
| Phone Number | 4075213600 |
| Fax Number | 4075213603 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | ME92559 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3417 | FL | BCBS PROVIDER NUMBER | |
| 7460692 | FL | AETNA PROVIDER NUMBER |
Post Comment/ Review Below
What is the Jason Andrew Boardman's 1174745962?
The Jason Andrew Boardman's NPI (National Provider Identifier) Number is 1174745962. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jason Andrew Boardman's physical address?
The Jason Andrew Boardman is physically located at 10000 W Colonial Dr, in the city of Ocoee, FL, with the postal code 347613400.
What is Jason Andrew Boardman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jason Andrew Boardman is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.
On what date was the 1174745962 assigned to Jason Andrew Boardman?
The Jason Andrew Boardman was issued its 1174745962 on 2007-05-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jason Andrew Boardman most recently updated?
The details pertaining to the Jason Andrew Boardman, including its address, specialty, and other relevant information, were last refreshed on 2012-02-01.
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