Individual
MR. JACOB SHUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-1155
Mailing address
1455 AUBURN CT, TALLAHASSEE, FL 32305-3201
(706) 621-3591
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA928
FL
Other
Enumeration date
01/09/2024
Last updated
02/09/2024
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