Individual
MR. JACOB DAVID CHIOFALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
328 SEARS AVE, DAYTONA BEACH, FL 32118-4759
(386) 562-0984
Mailing address
328 SEARS AVE, DAYTONA BEACH, FL 32118-4759
(386) 562-0984
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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