MR. Alfonzo L Jacobs, SFIDC

NPI #1760672364 in Wildwood, Florida

Provider Information

NPI Number: 1760672364
Entity Type: Individual
Name: MR. Alfonzo L Jacobs, SFIDC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Credential: SFIDC
Enumeration Date: Jul 30, 2007
Last Updated: Jul 30, 2007

Practice Location

Address: 707 MOSS ST
City: Wildwood
State: Florida
ZIP Code: 34785-0932
Phone: (228) 246-9613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X	Primary

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