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Organization
JACOBS ENTERPRISES, LLC
Active
Organization
JACOBS ENTERPRISES, LLC
Active
Other names
Jacobs Chiropractic & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JACOBS D.C. (PRESIDENT)
(850) 916-7060
Entity
Organization
Contact information
Practice address
215 GULF BREEZE PKWY, GULF BREEZE, FL 32561-4465
(850) 916-7060
Mailing address
PO BOX 1103, GULF BREEZE, FL 32562-1103
(850) 916-7060
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9180
FL
Other
Enumeration date
11/17/2006
Last updated
08/22/2020
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