Organization
FORT PIERCE FAMILY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY JACOBSON MD (PHYSICIAN)
(954) 661-8151
Entity
Organization
Contact information
Practice address
3851 VIRGINIA AVENUE, FORT PIERCE, FL 34981
(954) 661-8151
Mailing address
3709 OAK RIDGE LN, WESTON, FL 33331-3706
(954) 661-8151
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME0059609
FL
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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