Individual
MERLYN JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15491 SW 12TH ST, SUNRISE, FL 33326-1991
(888) 319-1818
Mailing address
6968 CHARLESTON CT, MARGATE, FL 33063-8010
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
PS55971
FL
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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