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Jacob Wasserman
Student in an Organized Health Care Education/Training Program in Tampa, Florida
NPI 1275114647

Jacob Wasserman is a Student in an Organized Health Care Education/Training Program based in Tampa, FL. Jacob Wasserman practices in Tampa, FL. The NPI Number for Jacob Wasserman is 1275114647 and holds a License No. (Florida).

The current practice location address for Jacob Wasserman is 560 Channelside Dr, Tampa, FL and can be reached out via phone at 813-396-0075.

Location: 560 Channelside Dr, Tampa, FL, 33629-8170
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275114647
Provider Name
Jacob Wasserman
Credential
Provider Entity Type
Individual
Gender
Male
Address
560 Channelside Dr, Tampa, FL, 33629-8170
Phone Number
813-396-0075
Fax Number
Provider Enumeration Date
04/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
560 Channelside Dr
City
Tampa
State
Florida
Zip
33602-5620
Phone Number
813-396-0075
Fax Number
person
Provider Business Mailing Address Details
Address
560 Channelside Dr
City
Tampa
State
Florida
Zip
33602-5620
Phone Number
813-396-0075
Fax Number
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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