MEDICARE: LOIS JASKULSKY 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	363L00000X	Nurse Practitioner	ARNP711642	FL

General Provider Information

NPI Number	:	1851391510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOIS JASKULSKY ARNP

Provider Business Mailing Address
First Line	:	3635 S CLYDE MORRIS BLVD
Second Line	:	SUITE 100
City	:	PORT ORANGE
State	:	FL
Zip	:	32129-2300
Country	:	US
Telephone Number	:	386-788-1242
Fax Number	:	386-788-4255

Provider Business Practice Location Address
First Line	:	3635 S CLYDE MORRIS BLVD
Second Line	:	SUITE 100
City	:	PORT ORANGE
State	:	FL
Zip	:	32129-2300
Country	:	US
Telephone Number	:	386-788-1242
Fax Number	:	386-788-4255

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

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	06/30/2010

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1033116975 — DR. GREGORY J. STELLA M.D.
Practice Location Address:

3635 S CLYDE MORRIS BLVD , STE 100
PORT ORANGE, FL
32129-2300

Practice Phone: 386-788-1242
Practice Fax: 386-788-4255

1417957432 — DONATO R RICCI MD
Practice Location Address:

3635 S CLYDE MORRIS BLVD , SUITE 100
PORT ORANGE, FL
32129-2300

Practice Phone: 386-788-1242
Practice Fax: 386-756-8802

1033179627 — MICHEL C SAMSON M.D.
Practice Location Address:

3635 S CLYDE MORRIS BLVD , STE. 400
PORT ORANGE, FL
32129-2300

Practice Phone: 386-756-9400
Practice Fax: 386-756-4338

1003861923 — TAMARA R CLANCY MD
Practice Location Address:

3635 S CLYDE MORRIS BLVD , SUITE 900
PORT ORANGE, FL
32129-2300

Practice Phone: 386-788-4263
Practice Fax: 386-788-0679

1497700314 — RICHARD HERSH TESSLER MD
Practice Location Address:

3635 S CLYDE MORRIS BLVD , SUITE 900
PORT ORANGE, FL
32129-2300

Practice Phone: 386-788-4263
Practice Fax: 386-788-0679

Directions to “ LOIS JASKULSKY ARNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.