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JACOB HENRY MARTIN DO
NPI 1922700400
Student in an Organized Health Care Education/Training Program in Orange Park, FL

Active since March 20, 2023
2001 KINGSLEY AVE FL 32073, ORANGE PARK, FL 32073(904) 639-8500 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Henry Martin Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB HENRY MARTIN DO (NPI 1922700400) is an individual student in an organized health care education/training program in Orange Park, Florida and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1922700400
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB HENRY MARTINCredential: DO
Location Address2001 KINGSLEY AVE FL 32073Orange Park, FL 32073-5148
Mailing Address2001 Kingsley AveOrange Park, FL 32073-5148 · (904) 639-2005
Phone(904) 639-8500
Sole ProprietorNo
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 20, 2023
✔ NPI 1922700400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2001 KINGSLEY AVE FL 32073, Orange Park, FL 32073
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REX BURCH DO
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE FL 32073
ORANGE PARK, FL 32073
Clay County (904) 639-8500
REED POPP MD
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE FL 32073
ORANGE PARK, FL 32073
Clay County (904) 639-8242
DR. ADAM AWWAD MD
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE FL 32073
ORANGE PARK, FL 32073
Clay County (904) 639-8500
MHD OSAMA SROUR
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE FL 32073
ORANGE PARK, FL 32073
Clay County (904) 639-8500
SHELLEY JANE CULATA VILLAMOR
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE FL 32073
ORANGE PARK, FL 32073
Clay County (904) 639-8500
DR. MAHMOUD ELMAHDY
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE FL 32073
ORANGE PARK, FL 32073
Clay County (904) 639-2005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Martin's NPI number?

The NPI number for Jacob Martin is 1922700400. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Jacob Martin located?

Jacob Martin practices at 2001 Kingsley Ave Fl 32073, Orange Park, FL 32073. The listed phone number is (904) 639-8500.

What is Jacob Martin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Martin was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.