Individual
ROBERT G JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11215 METRO PKWY STE 100, FORT MYERS, FL 33966-1206
(239) 208-2212
(239) 208-3994
Mailing address
2300 MIAMI VALLEY DR, STE 550, CENTERVILLE, OH 45459-1298
(937) 438-7500
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
37807
MN
2084N0400X
Neurology Physician
MD2023-0126
NM
2084N0400X
Neurology Physician
MD29004
ME
2084N0400X
Neurology Physician
Primary
ME171759
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518961531
—
ME
05
—
160230600
—
MN
Enumeration date
06/08/2005
Last updated
01/17/2025
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