Individual
JAKE MICHAEL ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214-5000
(904) 610-5253
Mailing address
2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214-5000
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
04/22/2024
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