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Organization
PORT CHARLOTTE INTERNAL MEDICINE
Active
Organization
PORT CHARLOTTE INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAKE R HAGER MD (OWNER)
(701) 351-2566
Entity
Organization
Contact information
Practice address
2400 HARBOR BLVD STE 11, PORT CHARLOTTE, FL 33952-5038
(701) 351-2566
Mailing address
749 CLEARVIEW DR, PORT CHARLOTTE, FL 33953-2042
(701) 351-2566
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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