Individual
DR. JACOB TANGIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12741 MIRAMAR PARKWAY, SUITE#302, MIRAMAR, FL 33027-3661
(954) 602-9723
(954) 602-9724
Mailing address
12741 MIRAMAR PKWY, SUITE#302, MIRAMAR, FL 33027-2903
(954) 602-9723
(954) 602-9724
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
ME0090853
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270798500
—
FL
01
—
52128
BCBS OF FL. PROVIDER #
FL
Enumeration date
09/12/2005
Last updated
10/12/2012
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