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Organization

SAMUEL S JACOBSON MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMUEL S JACOBSON M.D. (DIRECTOR)
(561) 939-0200
Entity
Organization

Contact information

Practice address
1601 CLINT MOORE RD, SUITE 175, BOCA RATON, FL 33487-5713
(561) 939-5770
(561) 939-5775
Mailing address
1601 CLINT MOORE RD, SUITE 175, BOCA RATON, FL 33487-2768
(561) 939-5770
(561) 939-5775

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME32787
FL

Other

Enumeration date
03/26/2008
Last updated
09/20/2010
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