Individual
DR. FELICIA JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2724 N HIAWASSEE RD STE 100, ORLANDO, FL 32818-3003
(407) 906-0082
(407) 604-2606
Mailing address
2724 N HIAWASSEE RD STE 100, ORLANDO, FL 32818-3003
(407) 906-0082
(407) 604-2606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME94568
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274296900
—
FL
01
—
30968Y
MEDICARE
FL
01
—
LL590
MEDICARE
FL
Enumeration date
06/03/2006
Last updated
04/26/2024
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