Organization
DAN G. JACOBSON, MD, PA
Active
Organization
DAN G. JACOBSON, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN GREGORY JACOBSON M.D., M.S. (PRESIDENT)
(772) 286-1812
Entity
Organization
Contact information
Practice address
432 SE OSCEOLA ST, STUART, FL 34994-2577
(772) 286-1812
(772) 288-4784
Mailing address
432 SE OSCEOLA ST, STUART, FL 34994-2577
(772) 286-1812
(772) 288-4784
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01280
BLUE CROSS BLUE SHIELD OF FLORIDA AND VERY OLD MEDICARE ISSUED 041186
FL
Enumeration date
11/17/2009
Last updated
11/17/2009
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