Individual
DR. JARED TODD ROECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 383-1037
(904) 244-4059
Mailing address
1301 CONCORD TER, SUNRISE, FL 33323-2843
(954) 384-0175
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
ME131240
FL
207VM0101X
Maternal & Fetal Medicine Physician
Primary
ME131240
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2013
Last updated
07/30/2022
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