Jacobs, Marielise

Jacobs, Marielise is an individual health care provider with primary practice located at 1751 Sarno Rd Ste 5 , Melbourne FL 32935-4909. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Jacobs, Marielise can be contacted via phone (321) 255-7779.

Contact Information

Primary practice address
1751 Sarno Rd Ste 5 Melbourne FL 32935-4909
Phone: (321) 255-7779
Fax: (321) 255-7774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT16287 Florida

Profile Details

NPI number 1245644111
LBN Legal business name Jacobs, Marielise
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2014
Last updated Jun 18th, 2014 - about 11 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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