Jakubec, Patricia Louise

Jakubec, Patricia Louise is an individual health care provider with primary practice located at 13226 Moby Dick Dr W , Jacksonville FL 32218-2891. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dental Providers / Dental Hygienist. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Jakubec, Patricia Louise can be contacted via phone (904) 614-2709.

Contact Information

Primary practice address
13226 Moby Dick Dr W Jacksonville FL 32218-2891
Phone: (904) 614-2709
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND9674 Florida
Dental Providers / Dental Hygienist 124Q00000X DH17696 Florida

Profile Details

NPI number 1457518755
LBN Legal business name Jakubec, Patricia Louise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2008
Last updated Feb 26th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457518755 NPPES
Florida Other DH17696 REGISTERED DENTAL HYGIENIST

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