Jacobs, Randall S

Jacobs, Randall S is an individual health care provider with primary practice located at 9800 S Healthpark Dr Ste 110 , Fort Myers FL 33908-3630. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Jacobs, Randall S can be contacted via phone (239) 343-6202.

Contact Information

Primary practice address
9800 S Healthpark Dr Ste 110 Fort Myers FL 33908-3630
Fax: (239) 343-4159
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME164131 Florida
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4301406898 Michigan

Profile Details

NPI number 1093798316
LBN Legal business name Jacobs, Randall S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Sep 26th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093798316 NPPES
Florida MEDICAID 120521000

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