Lalitha Jacob MD INC
Psychiatry & Neurology, Neurology in Pinellas Park, FL. Organization (NPI-2).
NPI number1295843878
StatusActive
Last updated in NPPESJul 18, 2011
Details
- NPI
- 1295843878
- Entity type
- Organization (NPI-2)
- Legal business name
- Lalitha Jacob MD INC
- Organization subpart
- No
- Enumeration date
- Aug 25, 2006
- Last updated
- Jul 18, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | ME62238 | FL | Yes |
Practice location
6229 66th St NPinellas Park, FL 33781-5025
Phone 727-528-1888 · Fax 727-528-0586
Mailing address
6229 66th St NPinellas Park, FL 33781-5025
Phone 727-528-1888 · Fax 727-528-0586
Authorized official
Lalitha E Jacob
Owner
7275281888
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