Dr. Mark David Jacobson, MD
Dr. Mark David Jacobson, MD is a Diagnostic Radiology in Lady Lake, Florida. Qualified in 1988, 38 years ago. Practices with Medical Imaging and Therapeutics LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 38
- Licensed in
- FL
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
769 Highway 466Lady Lake, FL 32159-6340
Phone: (352) 261-5502
Fax: (352) 350-5942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Vascular & Interventional Radiology Physician (primary) | Taxonomy 2085R0204X · Licence ME67158 (FL) |
|---|---|
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence ME67158 (FL) |
Record details
| NPI number | 1306894423 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 4, 2006 |
| Last updated in NPPES | November 12, 2019 |
| Mailing address | 922 Shore Acres Dr, Leesburg, FL 34748-9269 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Also practises | INTERVENTIONAL RADIOLOGY |
| Medical school | OTHER |
| Graduated | 1988 (38 years in practice) |
| Group practice | Medical Imaging And Therapeutics Llc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Lady Lake
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Medical Imaging & Therapeutics LLC
769 Highway 466 Ste 769, Lady Lake, FL 32159-6340 · (352) 261-5502