Individual
JACOB RENUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4611 US HIGHWAY 17 STE 2, FLEMING ISLAND, FL 32003-8248
(904) 264-4333
(904) 264-4301
Mailing address
4611 US HIGHWAY 17 STE 2, FLEMING ISLAND, FL 32003-8248
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME168099
FL
Other
Enumeration date
05/17/2021
Last updated
01/29/2025
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