| Josephine V Jasper Md Pa | |
|
40 S Heathwood Dr Ste E Marco Island FL 34145-5026 | |
| (239) 315-8271 | |
| Not Available |
| Full Name | Josephine V Jasper Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 40 S Heathwood Dr Ste E, Marco Island, Florida |
| Authorized Official Name and Position | Josephine V Jasper (PRESIDENT) |
| Authorized Official Contact | 9737684944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Josephine V Jasper Md Pa 1904 Sheffield Ave Marco Island FL 34145-6703 Ph: (973) 768-4944 | Josephine V Jasper Md Pa 40 S Heathwood Dr Ste E Marco Island FL 34145-5026 Ph: (239) 315-8271 |
| NPI Number | 1154837680 |
|---|---|
| Provider Enumeration Date | 12/20/2017 |
| Last Update Date | 12/20/2017 |
| Medicare PECOS PAC ID | 2961766753 |
|---|---|
| Medicare Enrollment ID | O20180502001805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154837680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | ME128241 (Florida) | Primary |
| Provider Name | Josephine V Jasper |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962571752 PECOS PAC ID: 9931125416 Enrollment ID: I20161220000198 |
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