# 360 PRIMARY CARE LLC

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

## Provider details

- **NPI number:** 1427901164
- **Authorized official:** DR. JAKE R HAGER MD (OWNER)
- **Authorized official phone:** (701) 351-2566

## Contact information

- **Practice address:** 2400 HARBOR BLVD STE 11, PORT CHARLOTTE, FL 33952-5038
- **Practice address phone:** (941) 218-0544
- **Mailing address:** 2400 HARBOR BLVD STE 11, PORT CHARLOTTE, FL 33952-5038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2026
- **Last updated:** 02/20/2026