Individual
DR. JAKE ROBERT DUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2203 61ST ST W, BRADENTON, FL 34209-5528
(941) 792-2020
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC006143
FL
Other
Enumeration date
07/02/2022
Last updated
04/20/2026
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