Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD CHARLES JACOBSON I, D.O.
ActiveDR. EDWARD CHARLES JACOBSON I, D.O. is a Electrodiagnostic Medicine healthcare provider located in ST PETERSBURG, Florida. NPI 1871659060 is currently active in the NPPES registry. Verify at CMS.
Electrodiagnostic Medicine · ST PETERSBURG, FL
Registration Details
- NPI Number
- 1871659060
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 29, 2006 (19.642886228222 yrs)
- Last Updated
- Jul 8, 2007
- License
-
OS0005364 (FL)
Practice Information
- Address
-
5635 1ST AVE SST PETERSBURG, FL, 337071703Browse FL providers · Browse ZIP 33707
- Phone
- 7273457681
- Fax
- 7273814318
- Primary Specialty
-
Electrodiagnostic Medicine
204D00000X
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.