Individual
DR. JAMES W. JAKUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
200 1ST ST SW, PROVIDER ENROLLMENT - MCJ, ROCHESTER, MN 55905-0001
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
103608
MN
208600000X
Surgery Physician
50862
MN
208600000X
Surgery Physician
ME85202
FL
2086X0206X
Surgical Oncology Physician
Primary
ME85202
FL
Other
Enumeration date
08/25/2005
Last updated
08/16/2024
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