MEDICARE: DR. JASON JOHN PIROZZOLO D.O.

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	207QS0010X	Sports Medicine (Family Medicine) Physician	OS9821	FL
2	207Q00000X	Family Medicine Physician	OS9821	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	:	1174566103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON JOHN PIROZZOLO D.O.

Provider Business Mailing Address
First Line	:	1111 12TH ST STE 108
Second Line	:
City	:	KEY WEST
State	:	FL
Zip	:	33040-4087
Country	:	US
Telephone Number	:	305-294-1779
Fax Number	:	305-294-3931

Provider Business Practice Location Address
First Line	:	1111 12TH ST STE 108
Second Line	:
City	:	KEY WEST
State	:	FL
Zip	:	33040-4087
Country	:	US
Telephone Number	:	305-294-1779
Fax Number	:	305-294-3931

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

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	06/16/2026

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Directions to “ DR. JASON JOHN PIROZZOLO D.O.” Practice Location

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