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NPI Code Detail

MEDICARE: JARED A NEUBRANDER

MEDICARE: JARED A NEUBRANDER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12472E0500XEEG Technician

General Provider Information

NPI Number : 1881158921
Entity Type Code : Individual
Provider Name (Legal Business Name) : JARED A NEUBRANDER
Provider Business Mailing Address
First Line : 125 NEPTUNE DR
Second Line :
City : HYPOLUXO
State : FL
Zip : 33462-6019
Country : US
Telephone Number : 561-504-2305
Fax Number :
Provider Business Practice Location Address
First Line : 2054 VISTA PKWY STE 400
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-6742
Country : US
Telephone Number : 561-504-2305
Fax Number : 954-856-2904
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2019
Last Update Date : 01/23/2019

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Directions to “ JARED A NEUBRANDER ” Practice Location

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