Individual
MR. BINISH KINALATH JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3854 NW 89TH WAY, HOLLYWOOD, FL 33024-8716
(954) 205-5730
Mailing address
3854 NW 89TH WAY, HOLLYWOOD, FL 33024-8716
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11033860
FL
Other
Enumeration date
04/02/2025
Last updated
04/10/2025
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