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Search › Florida › 2255A2300X

Jason Pendergraph

NPI 1063913861 · on the registry since 2018 · sole proprietor

Practice

Address
2441 Bellevue Ave
Daytona Beach, FL 32114
Phone
(850) 485-4723
Organisation at this address
Clovis Ai
Dme Academy Wisconsin Llc
Empirical Health Solutions Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-02-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida