Slater, Jared M

Slater, Jared M is an individual health care provider with primary practice located at 1451 El Camino Real , The Villages FL 32159-0041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Slater, Jared M can be contacted via phone (352) 265-0761.

Contact Information

Primary practice address
1451 El Camino Real The Villages FL 32159-0041
Phone: (352) 265-0761
Fax: (352) 265-1060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME154203 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X 49862 Minnesota

Profile Details

NPI number 1720100803
LBN Legal business name Slater, Jared M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated Jan 31st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720100803 NPPES
Minnesota Other P00888769 MEDICARE, RAILROAD
Minnesota MEDICAID 024490000 MEDICARE, RAILROAD

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