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Jason Zoglman

Hospitalist

Allopathic & Osteopathic Physicians

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

(904) 202-3860 (904) 202-2092

PECOS Enrollment

Based on the most recent information from CMS, provider Jason Zoglman is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1083118780
Provider Type
Individual
Full Name
Zoglman, Jason
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/19/2018
Last Updated
1/9/2025

Contact Information

Practice Location

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

(904) 202-3860

(904) 202-3846

Mailing Location

PO Box 746638, Atlanta, GA 30374-6638

(904) 202-2092

(904) 376-4075

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License ME156445 Florida
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME156445 Florida
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 2021034821 Missouri

Jason Zoglman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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Karmand, Arezo June

Geleidi, Anwar Salem

Carroll, Christopher Patrick

Mccarthy, Anna M

Young, Toni R