Individual
SALVIN JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 351-9996
Mailing address
909 TUSCANNY ST, BRANDON, FL 33511-6149
(516) 384-2067
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125073217
IL
207L00000X
Anesthesiology Physician
Primary
OS19128
FL
Other
Enumeration date
05/16/2017
Last updated
08/26/2022
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