person
Jacob Ivey, DPM
Student in an Organized Health Care Education/Training Program in Orlando, Florida
NPI 1891374302

Jacob Ivey is a Student in an Organized Health Care Education/Training Program based in Winter Haven, FL. Jacob Ivey practices in Orlando, FL and has the professional credentials of DPM. The NPI Number for Jacob Ivey is 1891374302 and holds a License No. (Florida).

The current practice location address for Jacob Ivey is 7727 Lake Underhill Rd, Orlando, FL and can be reached out via phone at 407-303-8683.

Location: 7727 Lake Underhill Rd, Orlando, FL, 33884-3037
person
Provider Profile Details
NPI Number
1891374302
Provider Name
Jacob Ivey
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
7727 Lake Underhill Rd, Orlando, FL, 33884-3037
Phone Number
407-303-8683
Fax Number
Provider Enumeration Date
04/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7727 Lake Underhill Rd
City
State
Zip
32822-8224
Phone Number
407-303-8683
Fax Number
person
Provider Business Mailing Address Details
Address
7727 Lake Underhill Rd
City
State
Zip
32822-8224
Phone Number
407-303-8683
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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