Individual
DR. MICHAEL H JAQUITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1525 TAMIAMI TRL S, #602, VENICE, FL 34285-3568
(941) 497-2663
(941) 497-5960
Mailing address
1525 TAMIAMI TRL S, STE 602, VENICE, FL 34285-3568
(941) 497-2663
(941) 497-5960
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0046959
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200003087
RAILROAD MEDICARE PIN
FL
Enumeration date
05/09/2006
Last updated
07/29/2013
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