Individual
JAKE MCHARGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1031 E OAK ST, ARCADIA, FL 34266-8923
(863) 491-7580
(863) 491-7584
Mailing address
34 S BALDWIN AVE, ARCADIA, FL 34266-3387
(863) 491-7580
(863) 491-7584
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5221889
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN5221889
LPN LICENSE
FL
Enumeration date
01/07/2016
Last updated
01/07/2016
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