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NPI Code Detail

MEDICARE: JACOB R ALBERS

MEDICARE: JACOB R ALBERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician351632LA

General Provider Information

NPI Number : 1861194607
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB R ALBERS
Provider Business Mailing Address
First Line : 8451 PICARDY AVE APT 2219
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809-3777
Country : US
Telephone Number : 970-227-3627
Fax Number :
Provider Business Practice Location Address
First Line : 560 CHANNELSIDE DR
Second Line :
City : TAMPA
State : FL
Zip : 33602-5618
Country : US
Telephone Number : 970-227-3627
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2023
Last Update Date : 05/26/2026

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Directions to “ JACOB R ALBERS ” Practice Location

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