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Jacob John Moody
Student in an Organized Health Care Education/Training Program in Tamarac, Florida
NPI 1235998790

Jacob John Moody is a Student in an Organized Health Care Education/Training Program based in Tamarac, FL. Jacob John Moody practices in Tamarac, FL. The NPI Number for Jacob John Moody is 1235998790 and holds a License No. (Florida).

The current practice location address for Jacob John Moody is 7201 N University Dr, Tamarac, FL and can be reached out via phone at 954-724-6540 and via fax at 954-597-4430.

Location: 7201 N University Dr, Tamarac, FL, 33321-2913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235998790
Provider Name
Jacob John Moody
Credential
Provider Entity Type
Individual
Gender
Male
Address
7201 N University Dr, Tamarac, FL, 33321-2913
Phone Number
954-724-6540
Fax Number
954-597-4430
Provider Enumeration Date
03/18/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
7201 N University Dr
City
Tamarac
State
Florida
Zip
33321-2913
Phone Number
954-724-6540
Fax Number
954-597-4430
person
Provider Business Mailing Address Details
Address
7201 N University Dr
City
Tamarac
State
Florida
Zip
33321-2913
Phone Number
954-724-6540
Fax Number
954-597-4430
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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