Beena Jacob, PA-C

NPI #1770509200 in Plantation, Florida

Provider Information

NPI Number: 1770509200
Entity Type: Individual
Name: Beena Jacob, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 201 NW 82ND AVE
Address 2: S. 501
City: Plantation
State: Florida
ZIP Code: 33324-7808
Phone: (954) 473-6750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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