NPI 1104052042

Jared Allen Crothers, MD

Practitioner Otolaryngology Physician Gainesville, FL

Practice location

Address: 1600 SW Archer Rd, Gainesville, FL 32610-2502
Phone: (352) 273-5199
Fax: (352) 392-6781
Mailing address: PO Box 100264, Gainesville, FL 32610-0264

Registered specialties (3)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence ME155474 (FL)

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Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 46624 (TN)

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Allopathic & Osteopathic Physicians Taxonomy 207YX0007X Licence 0101282293 (VA)

Registry record

NPI: 1104052042
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2009
Record last updated: 13 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.