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Individual

JARED COLE RHODES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
14576 BLACKJACK RD, DOVER, FL 33527-4300
(813) 545-9410
Mailing address
14576 BLACKJACK RD, DOVER, FL 33527-4300
(813) 545-9410

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6907051
FL

Other

Enumeration date
07/19/2021
Last updated
07/19/2021
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