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Leslie Jacob, MD
Gastroenterology Physician in Sebring, Florida
NPI 1679647697

Leslie Jacob is a Gastroenterology Physician based in Aventura, FL and is specialized in Gastroenterology. Leslie Jacob practices in Sebring, FL and has the professional credentials of MD. The NPI Number for Leslie Jacob is 1679647697 and holds a License No. 0101280924 (Florida).

The current practice location address for Leslie Jacob is 4200 Sun N Lake Blvd, Sebring, FL and can be reached out via phone at 863-402-3103 and via fax at 863-402-5339.

Location: 4200 Sun N Lake Blvd, Sebring, FL, 33180-3546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679647697
Provider Name
Leslie Jacob
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4200 Sun N Lake Blvd, Sebring, FL, 33180-3546
Phone Number
863-402-3103
Fax Number
863-402-5339
Provider Enumeration Date
11/20/2006
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
119868200 05 FL
RM822 01 FL HFMG MA
100011557 01 FL RAILROAD MEDICARE
28906 01 FL BLUE CROSS BLUE SHIELD OF FLA
institution
Provider Business Practice Location Address Details
Address
4200 Sun N Lake Blvd
City
Sebring
State
Florida
Zip
33872-1986
Phone Number
863-402-3103
Fax Number
863-402-5339
person
Provider Business Mailing Address Details
Address
4200 Sun N Lake Blvd
City
Sebring
State
Florida
Zip
33872-1986
Phone Number
863-402-3103
Fax Number
863-402-5339
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
207RG0100X
License No.
0101280924 (Virginia)
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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