Dr Jessica Taub Podiatry Dpm LLC

NPI #1841032836 in Port Saint Lucie, Florida

Provider Information

NPI Number: 1841032836
Entity Type: Organization
Organization Name: Dr Jessica Taub Podiatry Dpm LLC
Primary Specialty: Podiatrist
Enumeration Date: Jun 10, 2024
Last Updated: Jun 10, 2024

Practice Location

Address: 1331 SE PORT ST LUCIE BLVD STE 101
City: Port Saint Lucie
State: Florida
ZIP Code: 34952-5331
Phone: (772) 283-3800

Authorized Official

Name: JESSICA EMILY TAUB, DPM
Title: AOUTORIZED OFFICIAL
Phone: (216) 402-3827

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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