Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | ME140220 | FL |
N | 207VG0400X | Gynecologist | MD54321 | TN |
NPI | 1184990178 |
---|---|
Provider Name | Dr. Jason Mcmaster |
First Address | Orlando, FL 32803-1248 |
Second Address | Orlando, FL 32803-1248 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2012 |
Last Update Date | 08/11/2019 |