Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JARED A DESTACKELBERG, PA
ActiveJARED A DESTACKELBERG, PA is a Physician Assistant healthcare provider located in OCALA, Florida. NPI 1104136399 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · OCALA, FL
Registration Details
- NPI Number
- 1104136399
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 21, 2010 (15.80463092381 yrs)
- Last Updated
- Oct 21, 2010
- License
-
PAT 9105672 (FL)
Practice Information
- Address
-
1901 SE 18TH AVESTE 101OCALA, FL, 344718215Browse FL providers · Browse ZIP 34471
- Phone
- 3526223360
- Fax
- 3526713269
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in OCALA, FL
| Name | Credential | NPI |
|---|---|---|
| KRISTY LYNN CHATHAM | PAC | 1942294269 |
| PHILIP FRANCIS BERARDI | PA C | 1154318558 |
| RANAE S BERRY | PA-C | 1033192349 |
| ROBIN D. LESTER | P.A. | 1760441851 |
| JAY M WALKER | PA-C | 1235194317 |
| GREGG ALAN KASINGER | PA-C | 1295770691 |
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.