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1578119905
JACOB JOSEPH FERENCAK
KISSIMMEE, FL
NPI
1578119905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT35043)
Enumeration Date
2019-08-12
Last Update Date
2019-08-19
Business Address
JACOB JOSEPH FERENCAK DPT, PT
311 W BASS ST
KISSIMMEE, FL 34741-5011
Phone number: 407-624-4688
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Mailing Address
JACOB JOSEPH FERENCAK DPT, PT
1200 LEXINGTON GREEN LN
SANFORD, FL 32771-1013
Phone number: 407-322-3442
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