Provider Demographics
NPI:1891895280
Name:JACOBS, GEORGE B (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:B
Last Name:JACOBS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5506 HARBOUR PRESERVE CIR
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33914-2534
Mailing Address - Country:US
Mailing Address - Phone:239-549-4610
Mailing Address - Fax:239-549-2859
Practice Address - Street 1:5506 HARBOUR PRESERVE CIR
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33914-2534
Practice Address - Country:US
Practice Address - Phone:239-549-4610
Practice Address - Fax:239-549-2859
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME31130207XS0117X, 207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery