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

Radim Jacob

Individual provider Internal Medicine Physician · NPI 1669935128

Radim Jacob is an Internal Medicine in Orange Park, Florida. Qualified in 2019, 7 years ago. Practices with Progressive Care Medical Group PLLC, a 44-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2019
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Practice location Address checks out

2001 Kingsley Ave
Orange Park, FL 32073-5156
Phone: (904) 639-2000
Fax: (904) 639-2015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME155370 (FL)

Record details

NPI number1669935128
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 11, 2019
Last updated in NPPESAugust 2, 2022
Certification dateJuly 22, 2022
Mailing address1592 Porter Lakes Dr, Jacksonville, FL 32218-9047

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Progressive Care Medical Group Pllc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Orange Park