Provider Demographics
NPI:1912922469
Name:LECHTENSTEIN, JARED M (DO)
Entity Type:Individual
Prefix:
First Name:JARED
Middle Name:M
Last Name:LECHTENSTEIN
Suffix:
Gender:M
Credentials:DO
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:350 NW 84TH AVE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1817
Mailing Address - Country:US
Mailing Address - Phone:954-236-8511
Mailing Address - Fax:954-236-5071
Practice Address - Street 1:350 NW 84TH AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1817
Practice Address - Country:US
Practice Address - Phone:954-236-8511
Practice Address - Fax:954-236-5071
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS8764207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOS8764OtherMEDICAL LICENSE
FLBL8247137OtherDEA NUMBER