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Organization
E. JACOB M.D, PA
Active
Organization
E. JACOB M.D, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDY WESTGATE (MANAGER)
(850) 914-9119
Entity
Organization
Contact information
Practice address
629 E HIGHWAY 98, PANAMA CITY, FL 32401-3611
(850) 914-9119
(850) 913-1670
Mailing address
629 E HIGHWAY 98, PANAMA CITY, FL 32401-3611
(850) 914-9119
(850) 913-1670
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
ME0054778
FL
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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