DR JAKE MD LLC
NPI 1306437199
Clinic/Center - Primary Care in Port Charlotte, FL

Active since February 03, 2021
2484 CARING WAY UNIT A, PORT CHARLOTTE, FL 33952(941) 979-5154(941) 235-8901 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2021, Apr 19, 2021, Mar 23, 2021 and 2 more (5 updates tracked since 2021).

About Dr Jake Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR JAKE MD LLC (NPI 1306437199) is a healthcare organization registered as a primary care in Port Charlotte, Florida and active in the NPI registry since February 2021. The organization lists Jake Richard Hager, Physician, as its authorized official.

NPPES Registry Identity

NPI1306437199
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDR JAKE MD LLC
Location Address2484 CARING WAY UNIT APort Charlotte, FL 33952-5306
Mailing Address2484 Caring Way Unit APort Charlotte, FL 33952-5306 · (701) 351-2566
Fax(941) 235-8901
Organization SubpartNo
Authorized OfficialJake Richard HagerPhysician · (701) 351-2566
Enumeration DateFebruary 3, 2021
Last NPPES UpdateJune 4, 20215 updates tracked since enumeration
NPPES CertifiedJune 4, 2021
NPI 1306437199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2484 CARING WAY UNIT A, Port Charlotte, FL 33952

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
2484 CARING WAY UNIT A
PORT CHARLOTTE, FL 33952

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Jake MD LLC's NPI number?

The NPI number for Dr Jake MD LLC is 1306437199. It was assigned to this organization in the NPPES registry on February 3, 2021.

Where is Dr Jake MD LLC located?

Dr Jake MD LLC is located at 2484 Caring Way Unit A, Port Charlotte, FL 33952. The listed phone number is (941) 979-5154.

What is Dr Jake MD LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Dr Jake MD LLC was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.