Individual
DR. JESSICA E TAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3515 SE WILLOUGHBY BLVD, STUART, FL 34994-5059
(772) 283-3800
(772) 283-7046
Mailing address
3515 SE WILLOUGHBY BLVD, STUART, FL 34994-5059
(772) 283-3800
(772) 283-7046
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO4065
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14396065
CAQH ID
—
01
—
PO4065
FL MEDICAL LICENSE (DPM)
FL
Enumeration date
06/20/2016
Last updated
03/07/2023
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