Individual
DANIEL HARRY JACOBS
Active
Individual
DANIEL HARRY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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