MEDICARE: JASON ROY ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP2905452	FL
2	363L00000X	Nurse Practitioner	ARNP2905452	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558321133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON ROY ARNP

Provider Business Mailing Address
First Line	:	3885 OAKWATER CIR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-6257
Country	:	US
Telephone Number	:	407-851-5600
Fax Number	:	407-438-9585

Provider Business Practice Location Address
First Line	:	9430 TURKEY LAKE RD
Second Line	:	STE 206
City	:	ORLANDO
State	:	FL
Zip	:	32819-8015
Country	:	US
Telephone Number	:	407-851-5600
Fax Number	:	407-438-9585

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	04/11/2013

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Directions to “ JASON ROY ARNP” Practice Location

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