Individual
JEFFREY P JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 FIFTH STREET SOUTH, 2ND FLOOR, ST PETERSBURG, FL 33701-4804
(727) 767-6666
(727) 767-8606
Mailing address
601 FIFTH STREET SOUTH, 2ND FLOOR, ST PETERSBURG, FL 33701-4804
(727) 767-6666
(727) 767-8606
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME64472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10334
WELLCARE
FL
01
—
134223953
HUMANA
FL
01
—
1644152
UNITED
FL
01
—
2255881
CIGNA
FL
01
—
243179
AVMED
FL
05
—
250840100
—
FL
01
—
31231
BCBS
FL
01
—
3306541
AETNA
FL
Enumeration date
02/16/2006
Last updated
10/10/2012
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