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Individual
JACK STEVEN DAUBERT
Active
Individual
JACK STEVEN DAUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0055247
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062348200
—
FL
01
—
08501
BCBS OF FLORIDA
FL
01
—
08501U
MEDICARE RETIRED RAILROAD
—
01
—
08501V
MEDICARE RETIRED RAILROAD
—
Enumeration date
07/18/2005
Last updated
06/19/2012
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