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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Alan Berns M.D.
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Pamela Yarrington PA-C, MPAS
Lake Mary, FLSpecialties: Physician Assistant (Primary)Psychiatry Physician
Hugues Jeanty PMHNP-BC
Lake Worth, FLSpecialties: Psychiatric/Mental Health Nurse Practitioner (Primary)Psychiatry Physician