Jason Gary Lunsford in Gulf Breeze - Physician Assistant
Jason Gary Lunsford - NPI 1679628556
Jason Gary Lunsford is a Physician Assistant in Gulf Breeze, Florida. Jason Gary Lunsford practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jason Gary Lunsford is 1679628556. The last update date is 2016-05-31.
Jason Gary Lunsford's current location address is 1040 Gulf Breeze Pkwy, Gulf Breeze, Florida. You can contact this provider via phone number 8509163700 and fax number 8509163710. The mailing address for Jason Gary Lunsford is 1040 Gulf Breeze Pkwy, Gulf Breeze, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Gary Lunsford |
|---|---|
| Address | 1040 Gulf Breeze Pkwy, Gulf Breeze, Florida |
| Phone Number | 8509163700 |
| Fax Number | 8509163710 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1679628556 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2016-05-31 |
Provider Mailing Address Detail
| Address | 1040 Gulf Breeze Pkwy |
|---|---|
| City | Gulf Breeze |
| State | Florida (FL) |
| Post Code | 325617809 |
| Phone Number | 8509163700 |
| Fax Number | 8509163710 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9108485 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Y0R57 | FL | BLUE CROSS BLUE SHIELD | |
| 172374 | AL | -- | |
| 14787900 | FL | -- | |
| 593-16867 | AL | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identification code issued to Jason Gary Lunsford by the Centers for Medicare & Medicaid Services?
The Jason Gary Lunsford has been assigned the NPI (National Provider Identifier) 1679628556 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Jason Gary Lunsford is located?
The Jason Gary Lunsford is situated at the following address: 1040 Gulf Breeze Pkwy, Gulf Breeze, FL, 325617809.
What is Jason Gary Lunsford's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jason Gary Lunsford's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When was the Jason Gary Lunsford's 1679628556 issued?
The Jason Gary Lunsford's 1679628556 was issued on 2007-01-24.
As of what date were the details pertaining to Jason Gary Lunsford last refreshed?
The information related to the Jason Gary Lunsford, including its address, specialty, and other relevant details, was last updated on 2016-05-31.
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