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Jason Radecke, MD
NPI 1568643013 · on the registry since 2007 · sole proprietor
Practice
- Address
- 14430 Us Highway 1
Sebastian, FL 32958 - Phone
- (772) 581-8003
- Organisation at this address
- Penny Pediatrics, Inc., P.A.
Thoracic Surgery Of Indian River LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-22
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