Jacob Wasserman
Jacob Wasserman is a Student in an Organized Health Care Education/Training Program in Tampa, Florida. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
560 Channelside DrTampa, FL 33602-5620
Phone: (813) 396-0075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 17 Davis Blvd Ste 308, Tampa, FL 33606 — (813) 974-2201
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1275114647 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 17, 2021 |
| Last updated in NPPES | March 28, 2022 |
| Certification date | March 28, 2022 |
| Mailing address | 2901 W Stovall St, Tampa, FL 33629-8170 |
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