| Steven Jakubaitis Dmd Pa | |
|
2866 Tamiami Trl Port Charlotte FL 33952-5126 | |
| (941) 629-4400 | |
| (941) 764-0000 |
| Full Name | Steven Jakubaitis Dmd Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2866 Tamiami Trl, Port Charlotte, Florida |
| Authorized Official Name and Position | Steven Jakubaitis (PRESIDENT) |
| Authorized Official Contact | 9416294400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Jakubaitis Dmd Pa 2866 Tamiami Trl Port Charlotte FL 33952-5126 Ph: (941) 629-4400 | Steven Jakubaitis Dmd Pa 2866 Tamiami Trl Port Charlotte FL 33952-5126 Ph: (941) 629-4400 |
| NPI Number | 1104251701 |
|---|---|
| Provider Enumeration Date | 09/13/2013 |
| Last Update Date | 10/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104251701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 11468 (Florida) | Primary |
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