Individual
KARIN L JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18401 MURDOCK CIR UNIT A, PORT CHARLOTTE, FL 33948-1026
(941) 625-9077
(941) 258-9078
Mailing address
18401 MURDOCK CIR UNIT A, PORT CHARLOTTE, FL 33948-1026
(194) 162-5907
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4174
FL
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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