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Individual
DR. JACOB W ZEIDERS III
Active
Individual
DR. JACOB W ZEIDERS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
ME96535
FL
207YP0228X
Pediatric Otolaryngology Physician
Primary
ME96535
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276276500
—
FL
01
—
68319
BCBS
FL
01
—
ME96535
MEDICAL LICENSE NUMBER
FL
Enumeration date
08/17/2006
Last updated
06/09/2016
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