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Jason Keith Fackler, ARNP
Cardiovascular Disease Physician in Leesburg, Florida
NPI 1609564566

Jason Keith Fackler is a Cardiovascular Disease Physician based in Ekron, FL and is specialized in Cardiovascular Disease. Jason Keith Fackler practices in Leesburg, FL and has the professional credentials of ARNP. The NPI Number for Jason Keith Fackler is 1609564566 and holds a License No. APRN11026036 (Florida).

The current practice location address for Jason Keith Fackler is 803 E Dixie Ave Fl 34748, Leesburg, FL and can be reached out via phone at 352-530-2256.

Location: 803 E Dixie Ave Fl 34748, Leesburg, FL, 40117-8529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609564566
Provider Name
Jason Keith Fackler
Credential
ARNP
Provider Entity Type
Individual
Gender
Male
Address
803 E Dixie Ave Fl 34748, Leesburg, FL, 40117-8529
Phone Number
352-530-2256
Fax Number
Provider Enumeration Date
04/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
803 E Dixie Ave Fl 34748
City
Leesburg
State
Florida
Zip
34748-6013
Phone Number
352-530-2256
Fax Number
person
Provider Business Mailing Address Details
Address
803 E Dixie Ave Fl 34748
City
Leesburg
State
Florida
Zip
34748-6013
Phone Number
352-530-2256
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
APRN11026036 (Florida)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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