Individual
JACK CHARLES JAWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2919 26TH ST WEST, BRADENTON, FL 34205-3737
(941) 755-2255
(941) 756-4465
Mailing address
2919 26TH ST WEST, BRADENTON, FL 34205-3737
(941) 755-2255
(941) 756-4465
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME44267
FL
207ND0101X
MOHS-Micrographic Surgery Physician
ME44267
FL
207NS0135X
Procedural Dermatology Physician
ME44267
FL
207R00000X
Internal Medicine Physician
ME44267
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068779100
—
FL
Enumeration date
09/30/2005
Last updated
03/12/2026
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