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Jason Petusevsky
Student in an Organized Health Care Education/Training Program in Coral Springs, Florida
NPI 1457987133

Jason Petusevsky is a Student in an Organized Health Care Education/Training Program based in Davie, FL. Jason Petusevsky practices in Coral Springs, FL. The NPI Number for Jason Petusevsky is 1457987133 and holds a License No. (Florida).

The current practice location address for Jason Petusevsky is 5129 Nw 86Th Way, Coral Springs, FL and can be reached out via phone at 954-591-5873.

Location: 5129 Nw 86Th Way, Coral Springs, FL, 33328-2018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457987133
Provider Name
Jason Petusevsky
Credential
Provider Entity Type
Individual
Gender
Male
Address
5129 Nw 86Th Way, Coral Springs, FL, 33328-2018
Phone Number
954-591-5873
Fax Number
Provider Enumeration Date
03/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5129 Nw 86Th Way
City
Coral Springs
State
Florida
Zip
33067-1971
Phone Number
954-591-5873
Fax Number
person
Provider Business Mailing Address Details
Address
5129 Nw 86Th Way
City
Coral Springs
State
Florida
Zip
33067-1971
Phone Number
954-591-5873
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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