SearchFloridaPhysician Assistant

Jared Destackelberg, PA

NPI 1104136399 · on the registry since 2010

Practice

Address
1901 Se 18th Ave
Ste 101
Ocala, FL 34471
Phone
(352) 622-3360
Fax
(352) 671-3269
Organisation at this address
Genesis Rehab, Llc
Unique Lingerie, Inc.
Ocala Neurodiagnostic Center
Endoscopy Center Of Ocala Inc
The Orthopaedic Institute, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
48

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-10-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida