Dr. Jonathan Jay Lubitz, DPM
Podiatrist in Port Saint John, FL. Individual provider (NPI-1).
NPI number1962406348
StatusActive
Last updated in NPPESJun 9, 2015
Details
- NPI
- 1962406348
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jonathan Jay Lubitz
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2005
- Last updated
- Jun 9, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | PO1452 | FL | Yes |
Practice location
5005 Port St John PkwySuite 2100
Port Saint John, FL 32927-4305
Phone 321-433-2247 · Fax 321-635-9310
Mailing address
805 Century Medical DrSuite C
Titusville, FL 32796-2100
Phone 321-268-6264 · Fax 321-635-9310
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