Individual
DR. MARIE-PAULE L JACOB-AMPUERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7201 N UNIVERSITY DR, TAMARAC, FL 33321-2913
(954) 724-6197
(954) 724-6444
Mailing address
PO BOX 741087, ATLANTA, GA 30384-1087
(954) 777-0018
(866) 262-5507
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
251072
NY
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
ME98156
FL
Other
Enumeration date
05/24/2007
Last updated
11/28/2017
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