Dr. Kim Kristine Jacobsen, D.O.
General Practice in Miami, FL. Individual provider (NPI-1).
NPI number1982811147
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1982811147
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kim Kristine Jacobsen
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | OS 5658 | FL | Yes |
Practice location
5454 Ne 4th AveMiami, FL 33137-2525
Phone 305-751-0091 · Fax 305-751-2211
Mailing address
5454 Ne 4th AveMiami, FL 33137-2525
Phone 305-751-0091 · Fax 305-751-2211
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