Dane Jack
Dane Jack is a Homemaker in Eustis, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1450 Highland AveEustis, FL 32726-5738
Phone: (352) 434-5158
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X |
|---|
Record details
| NPI number | 1427815034 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 29, 2024 |
| Last updated in NPPES | February 29, 2024 |
| Certification date | February 29, 2024 |
| Mailing address | 1450 Highland Ave, Eustis, FL 32726-5738 |
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