Individual
JARED JOHN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
2500 LAKEMONT AVE, ORLANDO, FL 32814-6102
(386) 264-9321
Mailing address
2500 LAKEMONT AVE, ORLANDO, FL 32814-6102
(386) 264-9321
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86151400
CDR REGISTRATION NUMBER
FL
Enumeration date
12/10/2019
Last updated
12/10/2019
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