JASON REDD

TAMPA, FL
NPI1194568618
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: FL  POR238)
Additional Taxonomies222Z00000X 
(Licence: FL  POR238)
Enumeration Date2024-06-13
Last Update Date2024-06-13
Business Address
JASON REDD CPO, LPO
13000 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4745
Phone number: 813-972-2000
Mailing Address
JASON REDD CPO, LPO
105 W EMMA ST
TAMPA, FL 33603-3624
Phone number: 727-686-4498
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