Individual
DR. MICHAEL LAWRENCE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4098 LIBRA DR, ORLANDO, FL 32816-3333
(407) 823-2701
Mailing address
4098 LIBRA DR, ORLANDO, FL 32816-3333
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME121799
FL
Other
Enumeration date
03/22/2011
Last updated
04/30/2019
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