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1669935128
RADIM JACOB
ORANGE PARK, FL
NPI
1669935128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME155370)
Enumeration Date
2019-04-11
Last Update Date
2022-08-02
Business Address
RADIM JACOB
2001 KINGSLEY AVE
ORANGE PARK, FL 32073-5156
Phone number: 904-639-2000
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Mailing Address
RADIM JACOB
1592 PORTER LAKES DR
JACKSONVILLE, FL 32218-9047
Phone number: 904-316-4972
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