Individual
ELIZABETH DAVIS JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
60 COLUMBIA ST STE 400, ORLANDO, FL 32806-1115
(321) 843-5851
(321) 843-1673
Mailing address
60 COLUMBIA ST STE 400, ORLANDO, FL 32806-1115
(321) 843-5851
(321) 843-1673
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME163824
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119177800
—
FL
Enumeration date
05/12/2016
Last updated
08/18/2023
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