Jacobs, Alfonzo L

Jacobs, Alfonzo L is an individual health care provider with primary practice located at 707 Moss St , Wildwood FL 34785-0932. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Jacobs, Alfonzo L can be contacted via phone (228) 246-9613.

Contact Information

Primary practice address
707 Moss St Wildwood FL 34785-0932
Phone: (228) 246-9613
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1760672364
LBN Legal business name Jacobs, Alfonzo L
Credentials SFIDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Jul 30th, 2007 - about 18 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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