Individual
ARIS NICHOLAS JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2489 DIPLOMAT PKWY E, CAPE CORAL, FL 33909-5422
(239) 652-1800
Mailing address
2909 TUSCAN DR, CAPE CORAL, FL 33909-5251
(469) 544-5920
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
L2343
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AW333
BCBS
TX
01
—
P00246340
RR MEDICARE
TX
Enumeration date
07/21/2005
Last updated
03/29/2017
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