Individual
JAMAR HALL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2858 W MAIN ST, LEESBURG, FL 34748-4631
(813) 957-8327
Mailing address
8112 CENTRALIA CT, LEESBURG FL, FL 34788
(352) 874-3643
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022093700
—
FL
Enumeration date
04/23/2018
Last updated
03/28/2022
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