Individual
MR. JACOB MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1871 WELLS RD STE 10, ORANGE PARK, FL 32073-2350
(904) 579-4814
(904) 247-4328
Mailing address
4006 3RD ST S, JACKSONVILLE BEACH, FL 32250-5848
(904) 247-4327
(904) 247-4328
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS5362
FL
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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