Organization
JACOB MEDICAL ASSOCIATES LLC
Active
Other names
VIOLA JACOB
Organization subpart
No
Provider details
NPI number
Authorized official
VIOLA M JACOB M.D (MEDICAL DIRECTOR)
(321) 946-6864
Entity
Organization
Contact information
Practice address
426 DISSTON AVE, CLERMONT, FL 34711-2633
(407) 215-4999
(888) 762-3102
Mailing address
426 DISSTON AVE, CLERMONT, FL 34711-2633
(407) 215-4999
(888) 762-3102
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME90116
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280396800
—
FL
01
—
43943
BC/BS
FL
Enumeration date
08/01/2007
Last updated
06/11/2013
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