Individual
JACOB BARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3909 N OCEAN BLVD APT 416, FORT LAUDERDALE, FL 33308-6447
(718) 757-2794
Mailing address
3909 N OCEAN BLVD APT 416, FORT LAUDERDALE, FL 33308-6447
(718) 757-2794
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9491993
FL
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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