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Jerome R Jacobson, MD
General Practice Physician in Palatka, Florida
NPI 1770590168

Jerome R Jacobson is a General Practice Physician based in Palatka, FL. Jerome R Jacobson practices in Palatka, FL and has the professional credentials of MD. The NPI Number for Jerome R Jacobson is 1770590168 and holds a License No. ME0059609 (Florida).

The current practice location address for Jerome R Jacobson is 6101 Crill Ave, Palatka, FL and can be reached out via phone at 386-326-1225.

Location: 6101 Crill Ave, Palatka, FL, 32177-3875
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770590168
Provider Name
Jerome R Jacobson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6101 Crill Ave, Palatka, FL, 32177-3875
Phone Number
386-326-1225
Fax Number
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
370150600 05 FL
institution
Provider Business Practice Location Address Details
Address
6101 Crill Ave
City
Palatka
State
Florida
Zip
32177-3875
Phone Number
386-326-1225
Fax Number
person
Provider Business Mailing Address Details
Address
6101 Crill Ave
City
Palatka
State
Florida
Zip
32177-3875
Phone Number
386-326-1225
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
ME0059609 (Florida)
Definition
Definition to come...
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