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Individual
DR. EACHARANGAD IPYE JACOB
Active
Individual
DR. EACHARANGAD IPYE JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
ME0054778
FL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
ME0054778
FL
Other
Enumeration date
06/30/2006
Last updated
07/30/2012
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