Leslie Jacob, MD

Gastroenterology Physician · Sebring, FL

Individual Active NPI

NPI number 1679647697

Practice location

4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Phone
(863) 402-3103
Fax
(863) 402-5339

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NPI record

NPI
1679647697
Entity type
Individual (Type 1)
Enumeration date
November 20, 2006
Last updated
April 16, 2024
Certified
April 16, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Gastroenterology Physician Primary 207RG0100X ME66002 FL
Gastroenterology Physician 207RG0100X 0101280924 VA

Mailing address

3610 Yacht Club Dr Apt 1202
Suite # 205
Aventura, FL 33180-3546
Phone
(561) 756-5606

Other practice locations (3)

  • 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-5595 · (321) 868-5871
  • 824 N Military Hwy Ste 100, Norfolk, VA 23502-3652 · (888) 236-2263
  • 3610 Yacht Club Dr Apt 1202, Aventura, FL 33180-3546 · (561) 756-5606

About Dr. Jacob

Leslie Jacob, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Gastroenterology Physician (code 207RG0100X). The practice location is 4200 Sun N Lake Blvd, Sebring, FL 33872-1986. The NPI number 1679647697 was assigned on November 20, 2006 and the record was last updated on April 16, 2024.

Dr. Jacob lists 2 licenses in the registry: #ME66002 (FL) for Gastroenterology Physician; #0101280924 (VA) for Gastroenterology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Leslie Jacob, MD?

The NPI number is 1679647697.

What is the phone number of Dr. Jacob?

The phone number listed for the practice location is (863) 402-3103.

Where is Dr. Jacob located?

4200 Sun N Lake Blvd, Sebring, FL 33872-1986.

What is the taxonomy code for Dr. Jacob?

The primary taxonomy code is 207RG0100X – Gastroenterology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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