| NPI | 1720656523 |
|---|---|
| Doing Business As | JASON C. CARDILLO |
| Entity Type | Organization |
| Authorized Contact | JASON CHARLES CARDILLO Dnp 813-368-5494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2021-09-29 |