JACOB MEDICAL ASSOCIATES LLC NPI 1174714414

NPI Information

  • NPI: 1174714414
  • Provider Name: JACOB MEDICAL ASSOCIATES LLC
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Other Name: VIOLA JACOB
  • Address: 426 DISSTON AVE
    CLERMONT, FL
    ZIP 34711
  • Phone: (407) 215-4999

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NPI Details

JACOB MEDICAL ASSOCIATES LLC is a geriatric medicine internal medicine in Clermont, FL. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. JACOB MEDICAL ASSOCIATES LLC NPI is 1174714414. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Viola Jacob.

The provider's business location address is:

426 DISSTON AVE
CLERMONT, FL
ZIP 34711-633
Phone: (407) 215-4999
Fax: (888) 762-3102

The provider's authorized official is Viola M Jacob .
The authorized official title is Medical Director and has the following contact phone number (321) 946-6864.

The enumeration date for this NPI number is 8/1/2007 and was last updated on 6/11/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric MedicineME90116FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
143943OTHERFLORIDABC/BS
2280396800MEDICAIDFLORIDA
3AF182MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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