Individual
JACOB FOSHEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 22ND AVE N, SAINT PETERSBURG, FL 33704-4345
(727) 498-7581
Mailing address
5554 SPANISH MOSS CV, BRADENTON, FL 34203-2114
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25325
FL
Other
Enumeration date
08/16/2020
Last updated
08/11/2022
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