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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ALFONZO L JACOBS, SFIDC

Active

MR. ALFONZO L JACOBS, SFIDC is a Independent Duty Corpsman healthcare provider located in WILDWOOD, Florida. NPI 1760672364 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · WILDWOOD, FL

Registration Details

NPI Number
1760672364
Provider Type
Individual
Gender
Male
NPI Issued
Jul 30, 2007 (19.070876032521 yrs)
Last Updated
Jul 30, 2007

Practice Information

Address
707 MOSS ST
WILDWOOD, FL, 347850932
Browse FL providers · Browse ZIP 34785
Phone
2282469613
Primary Specialty
Independent Duty Corpsman
1710I1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.