NPI
Jacob Connelly
NPI 1598184517
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2014-04-08
- Last updated
- 2024-02-28
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Specialties
Licenses
- License FL
- ME144380
Location
- Practice location
- 9401 SW Discovery Way Ste 201
- City
- Port Saint Lucie FL
- Postal code
- 34987-2381
- Phone
- (772) 288-2400
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Port Saint Lucie, FL. 2,116 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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