# DANIEL M JACOBS, M.D, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598201790
- **Authorized official:** DANIEL JACOBS (OWNER)
- **Authorized official phone:** (954) 895-2862

## Contact information

- **Practice address:** 319 S RIVERSIDE DR, POMPANO BEACH, FL 33062-5526
- **Practice address phone:** (954) 895-2862
- **Mailing address:** 2331 N STATE ROAD 7, LAUDERDALE LAKES, FL 33313-3748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | ME83309 | NY | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 01/11/2017
- **Last updated:** 01/11/2017