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Organization

LALITHA JACOB MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LALITHA E JACOB M.D. (OWNER)
(727) 528-1888
Entity
Organization

Contact information

Practice address
6229 66TH ST N, PINELLAS PARK, FL 33781-5025
(727) 528-1888
(727) 528-0586
Mailing address
6229 66TH ST N, PINELLAS PARK, FL 33781-5025
(727) 528-1888
(727) 528-0586

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME62238
FL

Other

Enumeration date
08/25/2006
Last updated
07/18/2011
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