Jacob, Nirmala Rose
Jacob, Nirmala Rose is an individual health care provider with primary practice located at 2201 Lucien Way Ste 100 , Maitland FL 32751-7003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jacob, Nirmala Rose can be contacted via phone (401) 875-0028.Contact Information
Primary practice address
2201 Lucien Way Ste 100
Maitland FL 32751-7003
Phone: (401) 875-0028
Fax: (888) 258-2307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME75726 | Florida |
Profile Details
| NPI number | 1578631511 |
|---|---|
| LBN Legal business name | Jacob, Nirmala Rose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jun 25th, 2024 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578631511 | NPPES |
| Florida | MEDICAID | 277885800 |
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