Search › Florida › 1223G0001X
Sally Jacob, DMD
NPI 1457883944 · on the registry since 2017
Practice
- Address
- 5101 E Busch Blvd Ste 13
Tampa, FL 33617 - Phone
- (813) 988-1167
- Fax
- (813) 364-0139
- Organisation at this address
- Upo Pa
Sopure Pharmacy Llc
Superior Pharmacy Llc
Blue Horizon Medical Clinic L.L.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
390200000X - Licence states on file
- MA, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-02
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