Male or Other

Dr. Paul A. Jacobson M.D.

Psychiatry Physician in Lake Mary, FL(View on Map)

Full Name

Dr. Paul Allen Jacobson M.D.

NPI Number

1821131780

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/14/2007

Specialties

(Taxonomies)

Code

2084P0800X
2084P0804X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Florida

License Number

38737
ME38737

Contact
Information

Purpose

Mailing
Location

Address

4044 W LAKE MARY BLVD
4044 W LAKE MARY BLVD

City

Lake Mary
Lake Mary

State

FL
FL

Postal Code

32746-2012
32746-2012

Country

US
US

Telephone Number

(407) 718-8000
(407) 718-8000

Identifiers

Identifier

040565500

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/17/2012

Provider Address

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Specialty: Psychiatry Physician (Primary)

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