Jacobson, Hal M

Jacobson, Hal M is an individual health care provider with primary practice located at 1920 Don Wickham Dr Suite130, Clermont FL 34711-1918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Jacobson, Hal M can be contacted via phone (352) 243-9709.

Contact Information

Primary practice address
1920 Don Wickham Dr Suite130 Clermont FL 34711-1918
Fax: (352) 243-8703
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME0038736 Florida

Profile Details

NPI number 1669465274
LBN Legal business name Jacobson, Hal M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jun 3rd, 2015 - about 7 years ago

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 1669465274 NPPES
Florida Other 110028619 RR MEDICARE LEESBURG
Florida MEDICAID 068606900 RR MEDICARE LEESBURG

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