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Jacob Urda, D.O

Family Medicine in Crestview, FL. Individual provider (NPI-1).

NPI number1427445477
StatusActive
Last updated in NPPESSep 10, 2021

Details

NPI
1427445477
Entity type
Individual (NPI-1)
Name
Jacob Urda
Credential
D.O
Sex
Male
Sole proprietor
No
Enumeration date
Apr 16, 2015
Certification date
Feb 5, 2021
Last updated
Sep 10, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineOS14821FLYes

Practice location

130 E Redstone Ave
Crestview, FL 32539-5348

Phone 850-398-8725 · Fax 850-398-8727

Mailing address

1005 Mar Walt Dr
Fort Walton Beach, FL 32547-6707

Phone 850-863-8150 · Fax 850-863-4152

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Other Family Medicine Physician providers in Crestview, FL

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