Provider Demographics
NPI:1851529945
Name:DEGREGORIO, JASON (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:
Last Name:DEGREGORIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:800 MEADOWS RD
Mailing Address - Street 2:DEPT OF PATHOLOGY
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486
Mailing Address - Country:US
Mailing Address - Phone:561-955-4720
Mailing Address - Fax:561-955-2127
Practice Address - Street 1:7201 N UNIVERSITY DR
Practice Address - Street 2:DEPT OF PATHOLOGY
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2913
Practice Address - Country:US
Practice Address - Phone:954-724-6344
Practice Address - Fax:866-262-5077
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME110011207ZP0101X, 207ZN0500X
RILP00282207ZN0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZN0500XAllopathic & Osteopathic PhysiciansPathologyNeuropathology
No207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology