Individual
DR. EDWARD CHARLES JACOBSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5635 1ST AVE S, ST PETERSBURG, FL 33707-1703
(727) 345-7681
(727) 381-4318
Mailing address
5635 1ST AVE S, ST PETERSBURG, FL 33707-1703
(727) 345-7681
(727) 381-4318
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
OS0005364
FL
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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