Lama, Jacobo Noel
Lama, Jacobo Noel is an sole proprietor health care provider with primary practice located at 101 S Dixie Dr , Haines City FL 33844. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lama, Jacobo Noel can be contacted via phone (863) 421-1190.Contact Information
Primary practice address
101 S Dixie Dr
Haines City FL 33844
Phone: (863) 421-1190
Fax: (863) 422-7393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 64989 | Florida |
Profile Details
| NPI number | 1285716456 |
|---|---|
| LBN Legal business name | Lama, Jacobo Noel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2006 |
| Last updated | May 16th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285716456 | NPPES |
| Florida | MEDICAID | 373686500 |
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