Individual
JACOB N CLENDENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
56155-20
WI
204F00000X
Transplant Surgery Physician
ME145251
FL
Other
Enumeration date
04/30/2009
Last updated
02/17/2021
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