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NPI Code Detail

MEDICARE: JASON CUMMINGS PTA

MEDICARE: JASON CUMMINGS PTA
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
1225200000XPhysical Therapy AssistantPTA19509FL

General Provider Information

NPI Number : 1144610627
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON CUMMINGS PTA
Provider Business Mailing Address
First Line : 4600 MIDDLETON PARK CIR E
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32224-5691
Country : US
Telephone Number : 904-223-9111
Fax Number :
Provider Business Practice Location Address
First Line : 4600 MIDDLETON PARK CIR E
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32224-5691
Country : US
Telephone Number : 904-223-9111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2015
Last Update Date : 02/04/2015

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Directions to “ JASON CUMMINGS PTA” Practice Location

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