Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON MARK RADECKE, MD
Active Sole ProprietorGeneral Surgery · SEBASTIAN, FL
Registration Details
- NPI Number
- 1568643013
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 26, 2007 (18.463591857404 yrs)
- Last Updated
- Jan 22, 2014
- License
-
ME-111397 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
14430 US HIGHWAY 1SEBASTIAN, FL, 329583237Browse FL providers · Browse ZIP 32958
- Phone
- 7725818003
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in SEBASTIAN, FL
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN D. KOZIARSKI | M.D. | 1710971155 |
| DR. PATRICK W DOMKOWSKI | MD | 1366423022 |
| DR. KUSHI BIMAL BHATT | M.D. | 1821259961 |
| PAUL APPLEBY | M.D. | 1366806242 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.