MEDICARE: DR. JASON H SEYMOUR MD

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	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	T5203	TX
2	2084P0802X	Addiction Psychiatry Physician	ME171296	FL
3	2084P0800X	Psychiatry Physician	04-51973	KS
4	2084P0802X	Addiction Psychiatry Physician	55382	KY
5	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	336200	NY

General Provider Information

NPI Number	:	1124522024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON H SEYMOUR MD

Provider Business Mailing Address
First Line	:	145 HERON BAY RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32218-3595
Country	:	US
Telephone Number	:	904-470-6900
Fax Number	:

Provider Business Practice Location Address
First Line	:	VA OUTPATIENT CLINIC
Second Line	:	6900 SOUTHPOINT DR N
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216
Country	:	US
Telephone Number	:	904-470-6900
Fax Number	:

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

Provider Enumeration Date	:	03/23/2018
Last Update Date	:	02/16/2026

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