NPI | 1649516030 |
---|---|
Other Name | DR. JACOB SMALL, PROFESSIONAL ASSOCIATION |
Entity Type | Organization |
Authorized Contact | JACOB SMALL President 305-972-2614 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 2163832) |
Enumeration Date | 2012-12-13 |
Last Update Date | 2024-05-09 |