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Contact Information

JASON D CUNDIFF, MD
135 COMMONWEALTH DR STE 210
GREENVILLE, SC29615-4850
 Phone: 864-675-4815
 Fax: 877-893-3779
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JASON D CUNDIFF · (Male)

NPI Number 1497926323
Status Active
Credentials MD
Entity Individual
Enumeration date 03/19/2008
Last updated 03/15/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME134536
  • LA License # 025774
  • SC License # 88865
  • FL Medicaid 023066800
Hospital affiliation(s)
  • BLAKE MEDICAL CENTER - (Acute Care)
    2020 59TH ST W
    BRADENTON, FL 34209
  • NORTHSIDE HOSPITAL - (Acute Care)
    6000 49TH ST N
    SAINT PETERSBURG, FL 33709
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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