Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME128271 | FL |
N | 111NI0900X | Internist | ME128271 | FL |
N | 207RH0003X | Hematology & Oncology | ME128271 | FL |
Y | 207RX0202X | Medical Oncology | ME128271 | FL |
NPI | 1083904197 |
---|---|
Provider Name | Dr. Jason Desmond Hew |
First Address | Fort Myers, FL 33907-1410 |
Second Address | Jacksonville, FL 32204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2011 |
Last Update Date | 07/10/2019 |