Individual
DR. KIM KRISTINE JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5454 NE 4TH AVE, MIAMI, FL 33137-2525
(305) 751-0091
(305) 751-2211
Mailing address
5454 NE 4TH AVE, MIAMI, FL 33137-2525
(305) 751-0091
(305) 751-2211
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS 5658
FL
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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