Jason Sirel, APRN
Nurse Practitioner, Gerontology in Lecanto, FL. Individual provider (NPI-1).
NPI number1114643152
StatusActive
Last updated in NPPESNov 12, 2022
Details
- NPI
- 1114643152
- Entity type
- Individual (NPI-1)
- Name
- Jason Sirel
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2022
- Certification date
- Nov 12, 2022
- Last updated
- Nov 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | APRN11022181 | FL | Yes |
Practice location
525 N Dacie PtLecanto, FL 34461-8399
Phone 352-746-2200 · Fax 352-746-9320
Mailing address
4651 Van Dyke RdLutz, FL 33558-4880
Phone 813-321-1786 · Fax 813-321-1787
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