Individual
JARED GARTH MICHAELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(701) 739-8167
Mailing address
2951 IRISH PEACH DR, WINTER GARDEN, FL 34787-5675
(701) 739-8167
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9518937
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
RN.507085
OH
Other
Enumeration date
06/18/2021
Last updated
05/30/2023
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