FAMILY CARE CENTER OF BROOKSVILLE, PA
Ambulatory Health at Cortez Blvd, Brooksville, FL

License number
Florida OS0007621
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. JERRY R JACOBS D O
Title: OWNER
Phone: (352) 596-4482
Address
Address
14540 Cortez Blvd SUITE 118, Brooksville, FL 34613
National Provider ID: 1720359045
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Family Care Center of Brooksville, PA

14540 Cortez Blvd, Brooksville, FL 34613

Registration:
Aug 19, 1998
State ID:
P98000072588
Business type:
Domestic for Profit Corporation
President, Treasurer, Director, Secretarys:
Jerry R. Jacobs (Secretary, Treasurer, Director, President),Jerrt R. Jacobs President, Treasurer, Director, Secretary, inactive

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