Provider Demographics
NPI:1922440452
Name:DUPRAT, JASON (APRN, CRNA)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:DUPRAT
Suffix:
Gender:M
Credentials:APRN, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3564 AVALON PARK E BLVD STE 1
Mailing Address - Street 2:#2001
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-9784
Mailing Address - Country:US
Mailing Address - Phone:716-984-4103
Mailing Address - Fax:
Practice Address - Street 1:83 WEST MILLER STREET
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806
Practice Address - Country:US
Practice Address - Phone:321-843-9792
Practice Address - Fax:954-514-3979
Is Sole Proprietor?:No
Enumeration Date:2013-07-25
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9298455163W00000X
FLARNP9298455367500000X, 367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse