| Doctor Name: | DR. JACOB DUDLEY ROUSE |
| NPI Number: | 1225013196 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ME32999 |
| Business Practice Address: | 603 S Orange St New Smyrna Beach, FL - 321687320 |
| Business Phone Number: | 3864230333 |
| Business Fax Number: | 3864230042 |
| Mailing Address: | 603 S Orange St, NEW SMYRNA BEACH |
| State: | FL |
| Postal Code: | 321687320 |
| Phone Number: | 3864230333 |
| Fax Number: | 3864230042 |
| NPI Enumeration Date: | 12/13/2005 |
| NPI Last Update Date: | 07/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | ME32999 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |