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Individual

MR. JOSE JACOB

Active
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Individual

MR. JOSE JACOB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
200200553
NC
207RC0000X
Cardiovascular Disease Physician
Primary
ME146896
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
109046000
FL
05
89131E0
NC
Enumeration date
05/25/2006
Last updated
01/08/2026
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