DR. ELLIOT JON JACOBSON MD NPI 1720778061

NPI Information

  • NPI: 1720778061
  • Provider Name: DR. ELLIOT JON JACOBSON, MD
  • Classification: Military Health Care Provider - 171000000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2080 CHILD ST
    JACKSONVILLE, FL
    ZIP 32214
  • Phone: (904) 542-7762

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NPI Details

DR. Elliot Jon Jacobson, MD is a military health care provider in Jacksonville, FL. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. DR. Elliot Jon Jacobson, MD NPI is 1720778061. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2080 CHILD ST
JACKSONVILLE, FL
ZIP 32214-005
Phone: (904) 542-7762

The NPI 1720778061 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/10/2023 and was last updated on 9/25/2023.

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
1171000000XMilitary Health Care ProviderYes

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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