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Individual

BENJAMIN NORMAN JACOBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1505 SW ARCHER RD, GAINESVILLE, FL 32608-1134
(352) 273-5484
Mailing address
1600 SW ARCHER RD BOX 100128, GAINESVILLE, FL 32610-0128
(352) 273-5484
(352) 273-5515

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME151882
FL

Other

Enumeration date
06/05/2012
Last updated
09/01/2021
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