Individual
PHILIP JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4161 NW 5TH ST, SUITE 100, PLANTATION, FL 33317-2101
(954) 585-3800
Mailing address
461 RANCH RD, WESTON, FL 33326-1755
(954) 530-4005
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME 70215
FL
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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