MEDICARE: MR. JASON M FLORIMONTE 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	207Q00000X	Family Medicine Physician	MD12381	HI
2	207Q00000X	Family Medicine Physician	ME129331	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
2	0000240986	OTHER	HI	HMSA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538161518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JASON M FLORIMONTE MD

Provider Business Mailing Address
First Line	:	410 CELEBRATION PL STE 103
Second Line	:
City	:	CELEBRATION
State	:	FL
Zip	:	34747-5432
Country	:	US
Telephone Number	:	407-303-4655
Fax Number	:	407-303-4654

Provider Business Practice Location Address
First Line	:	410 CELEBRATION PL STE 103
Second Line	:
City	:	CELEBRATION
State	:	FL
Zip	:	34747-5432
Country	:	US
Telephone Number	:	407-303-4655
Fax Number	:	407-303-4654

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

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	07/21/2022

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