Jacob, Jose
Jacob, Jose is an individual health care provider with primary practice located at 2111 Sw 20Th Pl , Ocala FL 34471-7734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jacob, Jose can be contacted via phone (352) 622-4251.Contact Information
Primary practice address
2111 Sw 20Th Pl
Ocala FL 34471-7734
Phone: (352) 622-4251
Fax: (352) 622-0102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 200200553 | North Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME146896 | Florida |
Profile Details
| NPI number | 1194771832 |
|---|---|
| LBN Legal business name | Jacob, Jose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Jul 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194771832 | NPPES |
| Florida | MEDICAID | 109046000 | |
| Florida | MEDICAID | 89131E0 |
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