Individual
JAKEEVA HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
1350 COUNTY ROAD 1 UNIT 2891, DUNEDIN, FL 34697-9616
(727) 678-0652
Mailing address
1350 COUNTY ROAD 1 UNIT 2891, DUNEDIN, FL 34697-9616
(727) 678-0652
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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