Eleazer, Jacob Raphael

Eleazer, Jacob Raphael is an individual health care provider with primary practice located at 4500 San Pablo Rd S , Jacksonville FL 32224-1865. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Eleazer, Jacob Raphael can be contacted via phone (904) 953-2000.

Contact Information

Primary practice address
4500 San Pablo Rd S Jacksonville FL 32224-1865
Phone: (904) 953-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 8.004015 Connecticut
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY11543 Florida

Profile Details

NPI number 1598190076
LBN Legal business name Eleazer, Jacob Raphael
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2013
Last updated Aug 15th, 2022 - about 2 years 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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