Jacob, Viola Maf

Jacob, Viola Maf is an sole proprietor health care provider with primary practice located at 1451 Haven Dr , Oviedo FL 32765-5286. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Jacob, Viola Maf can be contacted via phone (407) 215-4999.

Contact Information

Primary practice address
1451 Haven Dr Oviedo FL 32765-5286
Fax: (352) 394-5992
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME90116 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME90116 Florida

Profile Details

NPI number 1972597193
LBN Legal business name Jacob, Viola Maf
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2005
Last updated Oct 18th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972597193 NPPES
Florida MEDICAID 279329600

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