Individual
MR. BRUCE PAUL JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2665 CLEVELAND AVE, SUITE 103, FORT MYERS, FL 33901-5850
(239) 332-1612
Mailing address
6799 HIGHLAND PINES CIR, FORT MYERS, FL 33912-1378
(239) 561-2757
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS17558
FL
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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