Organization
BROWARD PODIATRY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE F. JACOBSON DPM (PRESIDENT/OWNER)
(954) 987-0550
Entity
Organization
Contact information
Practice address
3816 HOLLYWOOD BLVD, SUITE 206, HOLLYWOOD, FL 33021-6750
(954) 987-0550
(954) 987-0553
Mailing address
3816 HOLLYWOOD BLVD, SUITE 206, HOLLYWOOD, FL 33021-6750
(954) 987-0550
(954) 987-0553
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
PO1504
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340172300
—
FL
Enumeration date
04/26/2010
Last updated
04/26/2010
Update your record
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