SearchFlorida183500000X

Susan Jacob

NPI 1487991246 · on the registry since 2013

Practice

Address
5473 Nw Saint James Dr
Port Saint Lucie, FL 34983
Phone
(772) 878-1526
Fax
(772) 878-5446
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-01-12

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