# DR JESSICA TAUB PODIATRY DPM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285248286
- **Authorized official:** JESSICA TAUB DPM (OWNER PROVIDER)
- **Authorized official phone:** (772) 283-3800

## Contact information

- **Practice address:** 3515 SE WILLOUGHBY BLVD, STUART, FL 34994-5059
- **Practice address phone:** (772) 283-3800
- **Practice address fax:** (772) 283-7046
- **Mailing address:** 3515 SE WILLOUGHBY BLVD, STUART, FL 34994-5059
- **Mailing address phone:** (772) 283-3800
- **Mailing address fax:** (772) 283-7046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2020
- **Last updated:** 04/17/2024