Jason Scott Abraham

Physician Assistant · Lakeland, FL

Individual Active NPI

NPI number 1740844455

Practice location

3030 Harden Blvd
Lakeland, FL 33803-7952
Phone
(863) 687-1250
Fax
(863) 687-1258

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NPI record

NPI
1740844455
Entity type
Individual (Type 1)
Enumeration date
April 29, 2019
Last updated
February 21, 2024
Certified
February 21, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA9112718 FL
Surgical Physician Assistant 363AS0400X PA9112718 FL

Mailing address

7955 Spyglass Hill Rd
Ste a
Melbourne, FL 32940-8249
Phone
(321) 751-3389
Fax
(321) 242-2545

Other practice locations (1)

  • 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 · (863) 687-1100

About Jason Abraham

Jason Scott Abraham is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 3030 Harden Blvd, Lakeland, FL 33803-7952. The NPI number 1740844455 was assigned on April 29, 2019 and the record was last updated on February 21, 2024.

Jason Abraham lists 2 licenses in the registry: #PA9112718 (FL) for Physician Assistant; #PA9112718 (FL) for Surgical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jason Scott Abraham?

The NPI number is 1740844455.

What is the phone number of Jason Abraham?

The phone number listed for the practice location is (863) 687-1250.

Where is Jason Abraham located?

3030 Harden Blvd, Lakeland, FL 33803-7952.

What is the taxonomy code for Jason Abraham?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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