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

John Jacob, MD

Individual provider Family Medicine Physician · NPI 1396009122

John Jacob, MD is a Family Practice in Sarasota, Florida. Qualified in 2010, 16 years ago. Practices with Millennium Physician Group LLC, a 970-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
16
Licensed in
FL
In the registry since
2012
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

8383 S Tamiami Trl Unit 115
Sarasota, FL 34238-2901
Phone: (941) 244-9430
Fax: (941) 244-9437
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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 ME121690 (FL)

Record details

NPI number1396009122
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2012
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024
Mailing address2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Millennium Physician Group Llc — 970 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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