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NPI Code Detail

MEDICARE: SARA JAKAB DPT

MEDICARE: SARA JAKAB DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT011519GA
22251P0200XPediatric Physical Therapist30333FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851709422
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA JAKAB DPT
Provider Business Mailing Address
First Line : 3516 TRILLIUM CT
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32312-1717
Country : US
Telephone Number : 850-545-4584
Fax Number :
Provider Business Practice Location Address
First Line : 1725 HERMITAGE BLVD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-7709
Country : US
Telephone Number : 850-325-6301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2014
Last Update Date : 12/22/2020

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Directions to “ SARA JAKAB DPT” Practice Location

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