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

Jacob Renuart, MD

Individual provider Pediatrics Physician · NPI 1053985861

Jacob Renuart, MD is a Pediatrics Physician in Fleming Island, Florida. Licensed in Florida. Registered with an NPI since 2021.

Licensed in
FL
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4611 US Highway 17 Ste 2
Fleming Island, FL 32003-8248
Phone: (904) 264-4333
Fax: (904) 264-4301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME168099 (FL)

Record details

NPI number1053985861
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2021
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025
Mailing address4611 Us Highway 17 Ste 2, Fleming Island, FL 32003-8248

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