SearchFlorida111N00000X

Deric Jacobs, DC

NPI 1568679876 · on the registry since 2007 · sole proprietor

Practice

Address
4536 S. Clyde Morris Blvd.
Suite 3
Port Orange, FL 32129
Phone
(386) 562-4099

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-01-14

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