DR JAKE MD LLC

PORT CHARLOTTE, FL
NPI1306437199
Entity TypeOrganization
Authorized ContactJAKE RICHARD HAGER
Physician
701-351-2566
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2021-02-03
Last Update Date2021-06-04
Business Address
DR JAKE MD LLC
2484 CARING WAY UNIT A
PORT CHARLOTTE, FL 33952-5306
Phone number: 941-979-5154
Mailing Address
DR JAKE MD LLC
2484 CARING WAY UNIT A
PORT CHARLOTTE, FL 33952-5306
Phone number: 701-351-2566
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