Individual
JARED VANDERPOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10489 N FLORIDA AVE, CITRUS SPRINGS, FL 34434-3268
(352) 489-2486
Mailing address
1595 W SPRING MEADOW LOOP, LECANTO, FL 34461-7681
(513) 658-0018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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