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Individual

AUSTIN JACOBSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4401 N HIMES AVE, TAMPA, FL 33614-7097
(813) 393-3800
Mailing address
4401 N HIMES AVE STE 175, TAMPA, FL 33614-7095
(813) 393-3800

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
FL

Other

Enumeration date
03/19/2026
Last updated
03/30/2026
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