Individual
JACOB SPICKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2501 N ORANGE AVE STE 201, ORLANDO, FL 32804-4641
(407) 821-3620
Mailing address
2501 N ORANGE AVE STE 201, ORLANDO, FL 32804-4641
(407) 821-3620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
06/18/2022
Last updated
09/17/2024
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