Search › Florida › 152W00000X
Jacob Petro
NPI 1326778978 · on the registry since 2022
Practice
- Address
- 2140 Bloomingdale Ave
Valrico, FL 33596 - Phone
- (813) 413-3323
- Organisation at this address
- Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-15
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