Individual
CRISTINE JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 SW 107TH AVE # 1113, MIAMI, FL 33174-1302
(954) 593-0105
Mailing address
700 SW 107TH AVE # 1113, MIAMI, FL 33174-1302
(954) 593-0105
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209031736
IL
Other
Enumeration date
08/19/2024
Last updated
09/22/2025
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