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Individual
MR. JARED C. SHIPLEY
Active
Individual
MR. JARED C. SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA65044
CA
363A00000X
Physician Assistant
PA9112971
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105771600
—
FL
01
—
1171095
NCCPA
—
01
—
2PV1U
BCBS FL
FL
01
—
9112971
FLORIDA BOARD OF MEDICINE
FL
Enumeration date
01/28/2020
Last updated
12/10/2024
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