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Search › Florida › 363LA2100X

Jacob Wu

NPI 1093276081 · on the registry since 2019 · sole proprietor

Practice

Address
5992 Berryhill Rd Ste 302
Milton, FL 32570
Phone
(850) 416-4620
Organisation at this address
Mark J Elder Do Pa
Sacred Heart Medical Group
Santa Rosa Gastroenterology
Santa Rosa Surgical Associates, Pa
Emerald Coast Surgical Specialists Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Also registered as
163W00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-02-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida