| NPI | 1376915066 |
|---|---|
| Former Legal Business Name | ALLYN JACOBSOM OD |
| Entity Type | Organization |
| Authorized Contact | ALLYN HOWARD JACOBSON Optometrist 305-238-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC1033) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-10-21 |