Individual
ROBERT JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18203 BRAZIL AVE, PORT CHARLOTTE, FL 33948-8854
(330) 608-6369
Mailing address
18203 BRAZIL AVE, PORT CHARLOTTE, FL 33948-8854
(330) 608-6369
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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