Individual provider · Type 1 NPI
Mark David Jacobson, MD
Vascular & Interventional Radiology Physician · Lady Lake, FL
NPI number
1306894423
Active
Practice location
769 Highway 466
Lady Lake, FL 32159-6340
Fax (352) 350-5942
Mailing address
922 Shore Acres Dr
Leesburg, FL 34748-9269
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME67158 (FL) |
| Vascular & Interventional Radiology Physician Primary | 2085R0204X | ME67158 (FL) |
Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Another provider at this address
About NPI 1306894423
Mark David Jacobson, MD's National Provider Identifier is 1306894423, issued on May 4, 2006. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Lady Lake, FL. The record was last updated on Nov 12, 2019.