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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARCY JACKOVIC

Active

Internal Medicine · PORT CHARLOTTE, FL

Registration Details

NPI Number
1699744888
Provider Type
Individual
Gender
Female
NPI Issued
Mar 17, 2006 (20.158505672327 yrs)
Last Updated
Feb 3, 2026
Licenses
OS19081 (FL)
0S012093 (PA)

Practice Information

Address
17912 TOLEDO BLADE BLVD UNIT A
PORT CHARLOTTE, FL, 339481125
Browse FL providers · Browse ZIP 33948
Phone
9417661001
Fax
9417647116
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in PORT CHARLOTTE, FL

Name Credential NPI
DR. ROSA M. MENA MD 1568465342
EBRAHIM PAPAN M.D. 1053318592
DR. STEVEN D CHRISTESEN MD 1871586602
DR. SYED K HASSAN M.D. 1881687507
DR. ASIF F KAMAL MD 1235122953
DR. TANWEER A MEMON M.D. 1053304774
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.