Individual
DR. PEETER JAKOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3301 OVERSEAS HWY, FISHERMEN'S HOSPITAL RADIOLOGY, MARATHON, FL 33050-2329
(334) 671-1696
(334) 794-0721
Mailing address
2015 ALEXANDER DR, DOTHAN, AL 36301-3003
(334) 671-1696
(334) 794-0721
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME0039466
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME39466
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265816000
—
FL
Enumeration date
05/26/2006
Last updated
07/25/2008
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