Male or Other

Jason Godinez PA

Medical Physician Assistant in Pembroke Pines, FL(View on Map)

Full Name

Jason Godinez PA

NPI Number

1073969341

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/05/2016

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9109277

Contact
Information

Purpose

Mailing
Location

Address

680 N UNIVERSITY DR
680 N UNIVERSITY DR

City

Pembroke Pines
Pembroke Pines

State

FL
FL

Postal Code

33024-6738
33024-6738

Country

US
US

Telephone Number

N/A
(954) 538-6868

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/05/2016

Provider Address

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