Jared A Destackelberg PA

  • NPI 1104136399
According to our database, the NPI number for Jared A Destackelberg PA is 1104136399 and activated since 13 years ago. Jared A Destackelberg PA is an individual provider who specializes in Physician Assistant, and the primary practice location is 1901 Se 18th Ave, Ocala, FL 34471. You can also contact Jared A Destackelberg PA via telephone number is (352) 622-3360. Provider NPI information was last updated on 10/21/2010.

Recently Active NPIs

Overview of Jared A Destackelberg PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/21/2010
  • Last updated: 10/21/2010

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PAT 9105672
  • License State: FL

Provider Mailing Address

  • Address: 1901 Se 18th Ave
    Ste 101
    Ocala, FL 34471
  • Phone: 352-622-3360
  • Fax: 352-671-3269

Provider Practice Location

  • Address: 1901 Se 18th Ave
    Ste 101
    Ocala, FL 34471
  • Phone: 352-622-3360
  • Fax: 352-671-3269

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PAT 910567
  • License State: FL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jared A Destackelberg PA?
  • A: The npi number for Jared A Destackelberg PA is 1104136399.
  • Q: What are Jared A Destackelberg PA's specialties?
  • A: Jared A Destackelberg PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Jared A Destackelberg PA?
  • A: The medical license number for Jared A Destackelberg PA is PAT 9105672 and issued in FL in USA.
  • Q: Where is Jared A Destackelberg PA practice location?
  • A: Jared A Destackelberg PA is practicing at 1901 Se 18th Ave, Ocala, FL 34471.
  • Q: How to contact Jared A Destackelberg PA?
  • A: You can contact Jared A Destackelberg PA via 352-622-3360.