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Individual

MICHAEL R JACOBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
403 W HIGHLAND BLVD, INVERNESS, FL 34452-4717
(352) 726-3646
(352) 726-0079
Mailing address
403 W HIGHLAND BLVD, INVERNESS, FL 34452-4717
(352) 726-3646
(352) 726-0079

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036046008
IL
208600000X
Surgery Physician
54194-20
WI
208600000X
Surgery Physician
Primary
ME105854
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036046008
IL
01
04929950
BC BS
IL
Enumeration date
07/26/2006
Last updated
12/09/2025
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