Individual
DR. MELVIN R. JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 S ORLANDO AVE, WINTER PARK, FL 32789-5547
(407) 644-4692
Mailing address
1600 S ORLANDO AVE, WINTER PARK, FL 32789-5547
(407) 644-4692
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT 1127
FL
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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