Individual
GERALDINE M JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-7365
(813) 449-8618
Mailing address
PO BOX 9234, MORGANTOWN, WV 26506-9234
(304) 293-7227
(304) 598-4717
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
24703
WV
2085R0001X
Radiation Oncology Physician
34500
IA
2085R0001X
Radiation Oncology Physician
Primary
ME50372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0254359
—
IA
05
—
3810022378
—
WV
01
—
44316
WELLMARK BCBS
IA
Enumeration date
08/10/2005
Last updated
01/23/2024
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