Organization
JAD THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ARTHUR DERRENBACKER JR. D.O. (CEO)
(352) 563-2407
Entity
Organization
Contact information
Practice address
1669 SE HIGHWAY 19, CRYSTAL RIVER, FL 34429
(352) 563-2407
(352) 563-2807
Mailing address
P.O. BOX 2154, CRYSTAL RIVER, FL 34423
(352) 563-2407
(352) 563-2807
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
OS 0006090
FL
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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