| Doctor Name: | JASON STEFAN CHAN |
| NPI Number: | 1023206216 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 1080343 |
| Business Practice Address: | 2141 S Alternate A1a Suite 420 Jupiter, FL - 334774072 |
| Business Phone Number: | 5617435580 |
| Business Fax Number: | 5617435595 |
| Mailing Address: | 2141 S Alternate A1a, Suite 420 JUPITER |
| State: | FL |
| Postal Code: | 334774072 |
| Phone Number: | 5617435580 |
| Fax Number: | 5617435595 |
| NPI Enumeration Date: | 10/12/2007 |
| NPI Last Update Date: | 10/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 1080343 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |