Provider Demographics
NPI:1316436140
Name:JUSTINGER, JACOB STEVEN (MD)
Entity type:Individual
Prefix:
First Name:JACOB
Middle Name:STEVEN
Last Name:JUSTINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:10140 CENTURION PKWY N
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-0532
Mailing Address - Country:US
Mailing Address - Phone:904-697-4100
Mailing Address - Fax:
Practice Address - Street 1:807 CHILDRENS WAY
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8426
Practice Address - Country:US
Practice Address - Phone:904-697-3600
Practice Address - Fax:904-687-3927
Is Sole Proprietor?:No
Enumeration Date:2018-05-07
Last Update Date:2024-02-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME155611207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology