Individual
VIOLA MAF JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1451 HAVEN DR, OVIEDO, FL 32765-5286
(407) 215-4999
(352) 394-5992
Mailing address
PO BOX 121176, CLERMONT, FL 34712-1176
(407) 215-4999
(888) 762-3102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME90116
FL
208D00000X
General Practice Physician
Primary
ME90116
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
279329600
—
FL
Enumeration date
09/02/2005
Last updated
10/18/2021
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