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Individual

DONALD ALLEN JEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1921 WALDEMERE ST STE 504, SARASOTA, FL 34239
(941) 917-8525
(941) 917-8526
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111330
FL

Other

Enumeration date
07/31/2018
Last updated
08/10/2018
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