New Smyrna Beach Gynecology & Obstetrics Pa

NPI 1245233725 - Nurse Practitioner - 363LX0001X

NPI Details
NPI 1245233725
Enumeration Date 05/27/2005
Last Updated 09/07/2012
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name JACOB DUDLEY JACOB
Position PRESIDENT
Phone (386) 423-0333
Fax (386) 423-0042
Practice Location
603 S ORANGE ST
NEW SMYRNA BEACH FL, 32168-7320, US
Phone (386) 423-0333
Fax (386) 423-0042
Business Location
603 S ORANGE ST
NEW SMYRNA BEACH FL, 32168-7320, US
Phone (386) 423-0333
Fax (386) 423-0042
Toxanomy
Taxonomy Code 363LX0001X
License State Florida
License Number RN2893652
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According to our database, New Smyrna Beach Gynecology & Obstetrics Pa NPI is 1245233725, taxonomy code is 363LX0001X and license number is RN2893652, license state is located at Florida. New Smyrna Beach Gynecology & Obstetrics Pa physically located at 603 S Orange St, New Smyrna Beach FL, 32168-7320. NPI Number 1033115704 has the healthcare provider type.

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1245233725 NPI number is provided on an as is basis without warranty of any kind. 1245233725 is maintained by the National Plan & Provider Enumeration System. The contents of New Smyrna Beach Gynecology & Obstetrics Pa are for informational purposes only.