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1396009122
JOHN JACOB
SARASOTA, FL
NPI
1396009122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME121690)
Enumeration Date
2012-06-26
Last Update Date
2024-02-06
Business Address
JOHN JACOB MD
8383 S TAMIAMI TRL UNIT 115
SARASOTA, FL 34238-2901
Phone number: 941-244-9430
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Mailing Address
JOHN JACOB MD
2675 WINKLER AVE FL 2
FORT MYERS, FL 33901-9342
Phone number: 877-856-3774
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