Organization
FAMILY CARE CENTER OF BROOKSVILLE, PA
Active
Other names
Family Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY R JACOBS D O (OWNER)
(352) 596-4482
Entity
Organization
Contact information
Practice address
14540 CORTEZ BLVD, SUITE 118, BROOKSVILLE, FL 34613-6056
(352) 596-4482
(352) 596-2241
Mailing address
14540 CORTEZ BLVD, SUITE 118, BROOKSVILLE, FL 34613-6056
(352) 596-4482
(352) 596-2241
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
OS0007621
FL
Other
Enumeration date
01/18/2012
Last updated
07/02/2012
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