Individual
JARED ALLEN CROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-2502
(352) 273-5199
(352) 392-6781
Mailing address
PO BOX 100264, GAINESVILLE, FL 32610-0264
(352) 273-5199
(352) 392-6781
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
46624
TN
207Y00000X
Otolaryngology Physician
Primary
ME155474
FL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
0101282293
VA
Other
Enumeration date
06/05/2009
Last updated
05/13/2025
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