Individual
DR. PATRICK LOYD JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
15550 SW 152ND TER, MIAMI, FL 33187-5462
(305) 256-8262
Mailing address
15550 SW 152ND TER, MIAMI, FL 33187-5462
(305) 256-8262
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL674
FL
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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