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Contact Information

JASON JEROME, ATC, LAT
7085 NW BEACON SQUARE BOULEVARD BUILDING 1
BOCA RATON, FL33487
 Phone: 954-551-8268
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JASON JEROME · (Male)

NPI # 1578868543
Status Active
Credentials ATC, LAT
Entity Individual
Enumeration date 01/21/2011
Last updated 01/21/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 090302072
Hospital affiliation(s) Not Available
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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