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JARED DESTACKELBERG, PA
PA
Physician Assistant
NPI: 1104136399IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PAT 9105672(FL)
Education
OTHER
Class of 2010
Contact & Hours
- Address
- 1901 SE 18TH AVE, STE 101
OCALA, FL 34471 - Phone
- (352) 622-3360
Quick Facts
- NPI
- 1104136399
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 16
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