Individual
JACOB WORKINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11224 PARK BLVD, SEMINOLE, FL 33772-4752
(727) 394-0949
Mailing address
4566 62ND ST N, KENNETH CITY, FL 33709-5008
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
29002
FL
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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