MEDICARE: DR. JASON ERIC TURNER M.D.

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	207P00000X	Emergency Medicine Physician	125061187	IL

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	:	1619232089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON ERIC TURNER M.D.

Provider Business Mailing Address
First Line	:	8756 BOYNTON BEACH BLVD
Second Line	:	SUITE 150
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33472-4439
Country	:	US
Telephone Number	:	561-740-2273
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 S CLINTON ST
Second Line	:	UNIT 601
City	:	CHICAGO
State	:	IL
Zip	:	60607-3813
Country	:	US
Telephone Number	:	317-413-8049
Fax Number	:

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

Provider Enumeration Date	:	07/11/2012
Last Update Date	:	07/17/2015

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