Individual
DR. JACOB RAPHAEL ELEAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY11543
FL
103TC1900X
Counseling Psychologist
8.004015
CT
Other
Enumeration date
09/04/2013
Last updated
08/15/2022
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