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Search › Florida › 1835P0018X

Jay Dave

NPI 1528669637 · on the registry since 2020

Practice

Address
6745 N Church Ave
Mulberry, FL 33860
Phone
(863) 701-8049
Organisation at this address
William Bock Od Pa
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
1835P0018X
1835P0018X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida