IDAMIR JACOBS

TAMPA, FL
NPI1760720767
Former NameIDAMIR CALDERON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  APRN9273683)
Enumeration Date2013-01-25
Last Update Date2024-07-03
Business Address
IDAMIR JACOBS CRNA
3100 E FLETCHER AVE
TAMPA, FL 33613-4613
Phone number: 813-615-7294
Mailing Address
IDAMIR JACOBS CRNA
1528 LAND O LAKES BLVD STE 102
LUTZ, FL 33549-2903
Phone number: 813-501-4850