Individual
ELIZABETH JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 BARNA AVE STE H, TITUSVILLE, FL 32780-3417
(321) 362-4099
Mailing address
335 MOCKINGBIRD LN, MERRITT ISLAND, FL 32953-7946
(321) 446-6542
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ12537
FL
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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