Individual
DR. LEONARD JACOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
451 E ALTAMONTE DR, SPACE 2119, ALTAMONTE SPRINGS, FL 32701-4613
(407) 831-1330
(407) 831-2016
Mailing address
352 WOODSTEAD CIR, LONGWOOD, FL 32779-3726
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3053
TX
152W00000X
Optometrist
856
TN
152W00000X
Optometrist
Primary
OPC001879
FL
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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