Organization
360 PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAKE R HAGER MD (OWNER)
(701) 351-2566
Entity
Organization
Contact information
Practice address
2400 HARBOR BLVD STE 11, PORT CHARLOTTE, FL 33952-5038
(941) 218-0544
Mailing address
2400 HARBOR BLVD STE 11, PORT CHARLOTTE, FL 33952-5038
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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