Organization
DR JAKE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAKE RICHARD HAGER MD (PHYSICIAN)
(701) 351-2566
Entity
Organization
Contact information
Practice address
2484 CARING WAY UNIT A, PORT CHARLOTTE, FL 33952-5306
(941) 979-5154
(941) 235-8901
Mailing address
2484 CARING WAY UNIT A, PORT CHARLOTTE, FL 33952-5306
(701) 351-2566
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
06/04/2021
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