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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, PaInferred 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