| Dr Jake MD LLC | |
|
2484 Caring Way Unit A Port Charlotte FL 33952-5306 | |
| (941) 979-5154 | |
| (941) 235-8901 |
| Full Name | Dr Jake MD LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2484 Caring Way Unit A, Port Charlotte, Florida |
| Authorized Official Name and Position | Jake Richard Hager (PHYSICIAN) |
| Authorized Official Contact | 7013512566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jake MD LLC 2484 Caring Way Unit A Port Charlotte FL 33952-5306 Ph: (701) 351-2566 | Dr Jake MD LLC 2484 Caring Way Unit A Port Charlotte FL 33952-5306 Ph: (941) 979-5154 |
| NPI Number | 1306437199 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 06/04/2021 |
| Certification Date | 06/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306437199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
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