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Contact Information

ELVIRE JACQUES, MD
4105 PEMBROKE RD
HOLLYWOOD, FL33021-8103
 Phone: 954-265-3015
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for ELVIRE JACQUES · (Female)

NPI # 1104840719
Status Active
Credentials MD
Entity Individual
Enumeration date 07/27/2006
Last updated 11/03/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME84551
  • FL Medicaid 111183200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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