Individual
CARA L JAKOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3115 CITRUS TOWER BLVD, SUITE A, CLERMONT, FL 34711-6880
(352) 394-4237
(352) 394-6097
Mailing address
PO BOX 120550, CLERMONT, FL 34712-5389
(352) 394-4237
(352) 394-6097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0074002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258421200
—
FL
Enumeration date
07/22/2006
Last updated
10/21/2010
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