NPI 1063105096

Jake Michael Rouse, DO

Practitioner Military Health Care Provider Jacksonville, FL

Practice location

Address: 2080 Child St Dept 5000, Jacksonville, FL 32214-5000
Phone: (904) 610-5253

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X

Other Military Health Care Provider providers in Florida →

Registry record

NPI: 1063105096
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 May 2023
Record last updated: 22 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.