Lubitz, Jonathan Jay

Lubitz, Jonathan Jay is an individual health care provider with primary practice located at 5005 Port St John Pkwy Suite 2100, Port Saint John FL 32927-4305. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Lubitz, Jonathan Jay can be contacted via phone (321) 433-2247.

Contact Information

Primary practice address
5005 Port St John Pkwy Suite 2100 Port Saint John FL 32927-4305
Phone: (321) 433-2247
Fax: (321) 635-9310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO1452 Florida

Profile Details

NPI number 1962406348
LBN Legal business name Lubitz, Jonathan Jay
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jun 9th, 2015 - about 11 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 1962406348 NPPES
Florida MEDICAID 004278200

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