Individual
JACOB ANTHONY FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6500 38TH AVE N, ST PETERSBURG, FL 33710-1629
(727) 384-7727
Mailing address
1420 54TH AVE N, SAINT PETERSBURG, FL 33703-2642
(213) 200-4597
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
DOS-2219
HI
Other
Enumeration date
03/16/2018
Last updated
07/06/2023
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