Provider Demographics
NPI:1417306143
Name:RABINOWITZ, JASON (OD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:
Last Name:RABINOWITZ
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6518 CALAMONDIN DR
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-5040
Mailing Address - Country:US
Mailing Address - Phone:954-461-0014
Mailing Address - Fax:
Practice Address - Street 1:3251 DANIELS RD STE 124
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-7015
Practice Address - Country:US
Practice Address - Phone:407-654-5116
Practice Address - Fax:407-654-5982
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC5298152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist