Look up the most recent NPI and PECOS records

David Loeb

Internal Medicine

Allopathic & Osteopathic Physicians

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000 (480) 301-8000

PECOS Enrollment

Based on the most recent information from CMS, provider David Loeb does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1891784773
Provider Type
Individual
Full Name
Loeb, David
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
10/13/2005
Last Updated
9/1/2020

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Mailing Location

13400 E Shea Blvd, Scottsdale, AZ 85259-5452

(480) 301-8000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RG0100X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 23695 Arizona
Code 207RG0100X	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD.07239R Louisiana
Code 207RG0100X	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME59255 Florida
Code 207RG0100X	Description Internal Medicine Allopathic & Osteopathic Physicians	License H0572 Texas
Code 207RG0100X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 32275 Minnesota

David Loeb

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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Description

License

Code

Description

License

Code

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License

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Fluxa Cardenas, Daniela

Cangemi, John

Vazquez Roque, Maria

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Riegert-Johnson, Douglas