MEDICARE: DR. JASON TRIANA M.D.

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	207R00000X	Internal Medicine Physician	ME116743	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	:	1871711911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON TRIANA M.D.

Provider Business Mailing Address
First Line	:	9401 FOUNTAIN MEDICAL CT STE 101
Second Line	:
City	:	BONITA SPRINGS
State	:	FL
Zip	:	34135-4612
Country	:	US
Telephone Number	:	239-989-1179
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 BONITA BEACH RD SE STE 201
Second Line	:
City	:	BONITA SPRINGS
State	:	FL
Zip	:	34135-4683
Country	:	US
Telephone Number	:	239-319-2195
Fax Number	:	239-319-2194

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

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	12/07/2025

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