Individual
JACOB SCARBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11207 HARBOUR VISTA CIR, ST AUGUSTINE, FL 32080-5103
(256) 486-4988
Mailing address
11207 HARBOUR VISTA CIR, ST AUGUSTINE, FL 32080-5103
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9675688
FL
Other
Enumeration date
08/30/2025
Last updated
08/30/2025
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