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Mr. Jared C. Shipley, PA-C
Physician Assistant in Orlando, Florida
NPI 1174154256

Jared C. Shipley is a Physician Assistant based in Orlando, FL. Jared C. Shipley practices in Orlando, FL and has the professional credentials of PA-C. The NPI Number for Jared C. Shipley is 1174154256 and holds a License No. 9112971 (Florida).

The current practice location address for Jared C. Shipley is 10920 Moss Park Rd Ste 106, Orlando, FL and can be reached out via phone at 407-821-3582 and via fax at 407-821-3583.

Location: 10920 Moss Park Rd Ste 106, Orlando, FL, 32832-6087
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174154256
Provider Name
Jared C. Shipley
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
10920 Moss Park Rd Ste 106, Orlando, FL, 32832-6087
Phone Number
407-821-3582
Fax Number
407-821-3583
Provider Enumeration Date
01/28/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1171095 01 NCCPA
2PV1U 01 FL BCBS FL
105771600 05 FL
9112971 01 FL FLORIDA BOARD OF MEDICINE
institution
Provider Business Practice Location Address Details
Address
10920 Moss Park Rd Ste 106
City
Orlando
State
Florida
Zip
32832-6087
Phone Number
407-821-3582
Fax Number
407-821-3583
person
Provider Business Mailing Address Details
Address
10920 Moss Park Rd Ste 106
City
Orlando
State
Florida
Zip
32832-6087
Phone Number
407-821-3582
Fax Number
407-821-3583
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA9112971 (Florida)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
9112971 (Florida)
Definition
Definition to come...
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