Individual
SALIL G JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1907 TYRONE BLVD N, ST PETERSBURG, FL 33710-4841
(727) 317-2117
(727) 317-2104
Mailing address
1907 TYRONE BLVD N, ST PETERSBURG, FL 33710-4841
(727) 317-2117
(727) 317-2104
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME84815
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264069400
—
FL
Enumeration date
07/14/2006
Last updated
07/29/2020
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