Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Blum, MD

Individual provider Family Medicine Physician · NPI 1720047137

Jacob Blum, MD is a Family Medicine Physician in Fernandina Beach, Florida. Licensed in Florida and Kentucky. Registered with an NPI since 2006.

Licensed in
FL, KY
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.

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Practice location Address checks out

1888 S 14th St Credentialing Dept
Fernandina Beach, FL 32034-3054
Phone: (904) 261-0922
Fax: (904) 277-8872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME60766 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 28306 (KY)

Record details

NPI number1720047137
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2006
Last updated in NPPESDecember 31, 2018
Mailing addressPo Box 45443, Salt Lake City, UT 84145-0443

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