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Individual

JALEN FRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0301
Mailing address
4515 CABBAGE PALM DR, VALRICO, FL 33596-7189
(813) 527-4049

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA1138
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128659600
FL
Enumeration date
05/22/2025
Last updated
11/25/2025
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