Individual
DR. KACI JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2440 HOOKS ST, CLERMONT, FL 34711-3514
(352) 394-2862
(352) 394-2861
Mailing address
1414 KUHL AVE # MP38, ORLANDO, FL 32806-2008
(321) 842-4713
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PT28655
FL
Other
Enumeration date
07/07/2017
Last updated
07/26/2022
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