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1427445477
JACOB URDA
CRESTVIEW, FL
NPI
1427445477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS14821)
Enumeration Date
2015-04-16
Last Update Date
2021-09-10
Business Address
JACOB URDA D.O
130 E REDSTONE AVE
CRESTVIEW, FL 32539-5348
Phone number: 850-398-8725
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Mailing Address
JACOB URDA D.O
1005 MAR WALT DR
FORT WALTON BEACH, FL 32547-6707
Phone number: 850-863-8150
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