Viola Jacob

LBN: Jacob Medical Associates Llc
Viola Jacob is an health care organization with primary practice located at 426 Disston Ave , Clermont FL 34711-2633. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Jacob Medical Associates Llc can be contacted via phone (407) 215-4999, or through Jacob, Viola M via phone (321) 946-6864.

Contact Information

Primary practice address
426 Disston Ave Clermont FL 34711-2633
Phone: (407) 215-4999
Fax: (888) 762-3102
Website:
Map and Directions
Authorized official contact:
Name: Jacob, Viola M Doctor of Medicine (MD)
Phone: (321) 946-6864

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME90116 Florida

Profile Details

NPI number 1174714414
LBN Legal business name Jacob Medical Associates Llc
DBA Doing business as Viola Jacob
Authorized official Jacob, Viola M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2007
Last updated Jun 11th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174714414 NPPES
Florida MEDICAID 280396800
Florida Other 43943

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