Jason Petersen
Jason Petersen is an Assisted Living Facility in Brooksville, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2021
Practice location Address checks out
5483 Neff Lake RdBrooksville, FL 34601-7842
Phone: (720) 244-9712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence 11821 (FL) |
|---|
Record details
| NPI number | 1669041356 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 18, 2021 |
| Last updated in NPPES | June 18, 2021 |
| Certification date | June 9, 2021 |
| Mailing address | 21107 Bircholm Ct, Land O Lakes, FL 34637-7464 |
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