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Contact Information

DANIEL M JACOBS MD PA
458 W HILLSBORO BLVD
DEERFIELD BEACH, FL33441-1604
 Phone: 954-895-2862
 Fax: 414-607-3946
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for DANIEL M JACOBS MD PA

NPI Number 1760619910
LBN Legal business name DANIEL M JACOBS MD PA
Authorized official DANIEL JACOBS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/15/2009
Last updated 08/03/2011 - About 15 years ago
Identifiers
FL License # 800025654
FL Other P00921513 RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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