Connelly, Jacob

Connelly, Jacob is an sole proprietor health care provider with primary practice located at 9401 Sw Discovery Way Ste 201 , Port Saint Lucie FL 34987-2381. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Connelly, Jacob can be contacted via phone (772) 288-2400.

Contact Information

Primary practice address
9401 Sw Discovery Way Ste 201 Port Saint Lucie FL 34987-2381
Phone: (772) 288-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME144380 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X ME144380 Florida

Profile Details

NPI number 1598184517
LBN Legal business name Connelly, Jacob
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2014
Last updated Feb 28th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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