| Doctor Name: | DR. MICHAEL KING JASON |
| NPI Number: | 1457437055 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 136861 |
| Business Practice Address: | 8839 Bryan Dairy Rd Suite 300 Largo, FL - 337771203 |
| Business Phone Number: | 7273941911 |
| Business Fax Number: | 7273941986 |
| Mailing Address: | 455 Pinellas St, Suite 400 CLEARWATER |
| State: | FL |
| Postal Code: | 337563354 |
| Phone Number: | 7274451992 |
| Fax Number: | 7274451993 |
| NPI Enumeration Date: | 10/27/2006 |
| NPI Last Update Date: | 11/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 136861 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |