Provider Demographics
NPI:1588762140
Name:STRONG, JASON M (MD)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:M
Last Name:STRONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:8890 W OAKLAND PARK BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-7223
Mailing Address - Country:US
Mailing Address - Phone:954-741-3304
Mailing Address - Fax:754-222-6417
Practice Address - Street 1:8890 W OAKLAND PARK BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-7223
Practice Address - Country:US
Practice Address - Phone:954-741-3304
Practice Address - Fax:754-222-6417
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME83832208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG72868Medicare UPIN