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Search › Florida › 1041C0700X

Lukose Jacob, LCSW

NPI 1912046640 · on the registry since 2007

Practice

Address
200 Sw 62nd Blvd
Gainesville, FL 32607
Phone
(352) 376-8211
Fax
(352) 373-7594
Organisation at this address
Trenton Medical Center Inc
Trenton Medical Center, Inc.
Florida Clinical Practice Association Inc
Florida Clinical Practice Association Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Additional practice sites

  • 7765 S County Road 231, Lake Butler, FL

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-28

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