Individual
DR. ROBERT ELLIOTT JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7600 SW 57TH AVE, 309, SOUTH MIAMI, FL 33143-5428
(305) 661-8288
(305) 661-1874
Mailing address
7600 SW 57TH AVE, 309, SOUTH MIAMI, FL 33143-5428
(305) 661-8288
(305) 661-1874
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
24694
FL
208VP0014X
Interventional Pain Medicine Physician
24694
FL
Other
Enumeration date
08/08/2010
Last updated
08/01/2013
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