Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacob Leon Glock, MD

Individual provider Specialist · NPI 1386943694

Dr. Jacob Leon Glock, MD is a Specialist in Fort Myers, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15730 New Hampshire Ct Unit 101
Fort Myers, FL 33908-4121
Phone: (239) 561-3430
Fax: (239) 561-6980
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Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME0057264 (FL)

Record details

NPI number1386943694
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 25, 2011
Last updated in NPPESMarch 25, 2011
Mailing address15730 New Hampshire Ct, Unit 101, Fort Myers, FL 33908-4121

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