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Contact Information

NAVDEEP S JASSAL, MD
1417 LAKELAND HILLS BLVD STE 201
LAKELAND, FL33805
 Phone: 833-513-7246
 Fax: 863-333-4007
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for NAVDEEP S JASSAL · (Male)

NPI Number 1255625513
Status Active
Credentials MD
Entity Individual
Enumeration date 06/04/2011
Last updated 07/31/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME 122237
  • NY License # 273186
  • FL Medicaid 015208900
  • FL Other 150HR BCBS
  • FL Other P01510619 RR MCR
Hospital affiliation(s)
  • LAKELAND REGIONAL MEDICAL CENTER - (Acute Care)
    1324 LAKELAND HILLS BLVD
    LAKELAND, FL 33805
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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