Individual
JARED ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6484 FORT CAROLINE RD, JACKSONVILLE, FL 32277-2042
(904) 744-7300
(904) 722-4271
Mailing address
6520 FORT CAROLINE RD, JACKSONVILLE, FL 32277-2044
(904) 745-3618
(904) 722-4271
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9114136
FL
363AM0700X
Medical Physician Assistant
PA9114136
FL
Other
Enumeration date
02/25/2021
Last updated
12/04/2021
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