Individual
DR. ALLYN HOWARD JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9529 SW 160TH ST, MIAMI, FL 33157-3350
(305) 238-2121
(305) 238-2123
Mailing address
9529 SW 160TH ST, MIAMI, FL 33157-3350
(305) 238-2121
(305) 238-2123
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPC1033
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084493400
—
FL
Enumeration date
10/18/2006
Last updated
02/08/2010
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