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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
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