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

Mary Jacubec

Individual provider Physician Assistant · NPI 1134082266

Mary Jacubec is a Physician Assistant in Brooksville, Florida. Graduated from Nova Southeastern College of Osteo Medicine in 2025, 1 year ago. Licensed in Florida.

Years since qualifying
1
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
FL
In the registry since
2025

Practice location Address checks out

17222 Hospital Blvd Ste 346
Brooksville, FL 34601-8925
Phone: (352) 796-3334
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9121019 (FL)

Record details

NPI number1134082266
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedDecember 5, 2025
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing address12561 92nd Way, Largo, FL 33773-2534

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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