Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK DAVID JACOBSON, M.D.
ActiveDR. MARK DAVID JACOBSON, M.D. is a Therapeutic Radiology healthcare provider located in LADY LAKE, Florida. NPI 1306894423 is currently active in the NPPES registry. Verify at CMS.
Therapeutic Radiology · LADY LAKE, FL
Registration Details
- NPI Number
- 1306894423
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2006 (20.326642787629 yrs)
- Last Updated
- Nov 12, 2019
- Licenses
-
ME67158 (FL)ME67158 (FL)
Practice Information
- Address
-
769 HIGHWAY 466LADY LAKE, FL, 321596340Browse FL providers · Browse ZIP 32159
- Phone
- 3522615502
- Fax
- 3523505942
- Primary Specialty
-
Therapeutic Radiology
2085R0204X
- Additional Specialty
- Therapeutic Radiology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.