GARY LEONARD JACOBS

BROOKSVILLE, FL
NPI1760690135
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: FL  DO3669)
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
-- GARY LEONARD JACOBS OPTICIAN
13132 CORTEZ BLVD
BROOKSVILLE, FL 34613-4858
Phone number: 352-597-0410
Mailing Address
-- GARY LEONARD JACOBS OPTICIAN
6316 BAYSIDE DR
NEW PORT RICHEY, FL 34652-2038
Phone number: 727-845-8112