Jawitz, Jack Charles

Jawitz, Jack Charles is an sole proprietor health care provider with primary practice located at 2919 26Th St West , Bradenton FL 34205-3737. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Jawitz, Jack Charles can be contacted via phone (941) 755-2255.

Contact Information

Primary practice address
2919 26Th St West Bradenton FL 34205-3737
Phone: (941) 755-2255
Fax: (941) 756-4465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME44267 Florida
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X ME44267 Florida
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X ME44267 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME44267 Florida

Profile Details

NPI number 1316934714
LBN Legal business name Jawitz, Jack Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2005
Last updated Mar 12th, 2026 - about 7 months 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 1316934714 NPPES
Florida MEDICAID 068779100

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