Daubert, Jack Steven

Daubert, Jack Steven is an individual health care provider with primary practice located at 1050 Se Monterry Rd Ste #104, Stuart FL 34994-4512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Daubert, Jack Steven can be contacted via phone (772) 283-2020.

Contact Information

Primary practice address
1050 Se Monterry Rd Ste #104 Stuart FL 34994-4512
Phone: (772) 283-2020
Fax: (772) 220-9582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME0055247 Florida

Profile Details

NPI number 1790784270
LBN Legal business name Daubert, Jack Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jun 19th, 2012 - about 14 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 1790784270 NPPES
Florida Other 08501 BCBS OF FLORIDA
Florida MEDICAID 062348200 BCBS OF FLORIDA
Florida Other 08501V BCBS OF FLORIDA
Florida Other 08501U BCBS OF FLORIDA

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