Individual
DANIEL HARRY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3849 OAKWATER CIRCLE, ORLANDO, FL 32806
(407) 240-1762
(407) 812-5869
Mailing address
3849 OAKWATER CIRCLE, ORLANDO, FL 32806
(407) 240-1762
(407) 812-5869
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME0063521
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130020568
RAILROAD MEDICARE
FL
05
—
253371500
—
FL
01
—
3246418-010
CIGNA
FL
01
—
42335
BLUECROSS BLUESHIELD
FL
Enumeration date
11/17/2005
Last updated
11/01/2010
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