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Mark Jacobson, M.D
NPI 1306894423 · on the registry since 2006
Practice
- Address
- 769 Highway 466
Lady Lake, FL 32159 - Phone
- (352) 261-5502
- Fax
- (352) 350-5942
- Organisation at this address
- Medical Imaging & Therapeutics Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 2085R0204X
2085R0204X
- Also registered as
- 2085R0202X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida