Individual
DR. JACOB MICHAEL ALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1039 HARLEY STRICKLAND BLVD STE 100, ORANGE CITY, FL 32763-7979
(386) 457-6198
Mailing address
1870 FORTUNE CT, DELTONA, FL 32725-3260
(407) 756-4210
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC6258
FL
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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