THOMAS P JACOB
Physician at Fordham St, Fort Myers, FL

License number
Florida 9341
Issued Date
Jun 13, 2005
Effective Date
Jun 26, 2007
Expiration Date
Jul 1, 2009
Category
Health Care
Type
Registration for Resident/HSE Physician
Address
Address 2
8796 Fordham St, Fort Myers, FL 33907
1611 NW 12Th Ave, Miami, FL 33136
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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Thomas P. Jacob, MD, PA

Ft Myers, FL

Doing business as:
Thomas P Jacob MD
Registration:
Nov 1, 2013
Phone:
(239) 470-1994 (Phone)
Addresses:
8695 College Pkwy, Ft Myers, FL 33919
PO Box 7188, Ft Myers, FL 33919
State ID:
P13000089584
Business type:
Domestic for Profit Corporation
Secretary, Treasurer, President:
Thomas P. Jacob (Secretary, Treasurer, President)
Categories:
Physicians & Surgeons

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