Jason Petusevsky is a student in an organized health care education training program in Coral Springs, FL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jason Petusevsky NPI is 1457987133. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5129 NW 86TH WAY
CORAL SPRINGS, FL
ZIP 33067-971
Phone: (954) 591-5873
The NPI 1457987133 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/13/2020 and was last updated on 3/13/2020.