Individual
DR. DAN G. JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2960 NE HEATHER CT, JENSEN BEACH, FL 34957-5066
(772) 285-9665
(772) 334-7232
Mailing address
2960 NE HEATHER CT, JENSEN BEACH, FL 34957-5066
(772) 285-9665
(772) 334-7232
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0036695
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01280
BCBS FL AND NETWORK BLUE
FL
05
—
066502900
—
FL
01
—
ME0036695
WORKMANS COMP
FL
Enumeration date
05/24/2005
Last updated
02/19/2021
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