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NPI Code Detail

MEDICARE: JACOB THOENEN MD

MEDICARE: JACOB THOENEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianTRN42430FL

General Provider Information

NPI Number : 1235932815
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB THOENEN MD
Provider Business Mailing Address
First Line : 17 DAVIS BLVD STE 308
Second Line :
City : TAMPA
State : FL
Zip : 33606-3438
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17 DAVIS BLVD STE 308
Second Line :
City : TAMPA
State : FL
Zip : 33606-3438
Country : US
Telephone Number : 813-844-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2025
Last Update Date : 06/17/2026

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Directions to “ JACOB THOENEN MD” Practice Location

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