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1467423004
POTHEN JACOB
SAFETY HARBOR, FL
NPI
1467423004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: FL ME55603)
Enumeration Date
2006-01-31
Last Update Date
2020-10-05
Business Address
Mr. POTHEN JACOB MD
1840 MEASE DR STE 305
SAFETY HARBOR, FL 34695-6605
Phone number: 727-796-4166
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Mailing Address
Mr. POTHEN JACOB MD
3001 EXECUTIVE DR
CLEARWATER, FL 33762-5323
Phone number: 727-347-0005
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