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Organization
PAUL E JACOBSEN
Active
Organization
PAUL E JACOBSEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL E JACOBSEN (OWNER)
(305) 945-5477
Entity
Organization
Contact information
Practice address
17101 NE 19TH AVE, SUITE 204, NORTH MIAMI BEACH, FL 33162-3159
(305) 945-5477
Mailing address
17101 NE 19TH AVE, SUITE 204, NORTH MIAMI BEACH, FL 33162-3159
(305) 945-5477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS4671
FL
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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