Organization
JOSANA MEDICAL LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL MORRIS JACOBS M.D. (OWNER/MEDICAL DIRECTOR)
(954) 895-2862
Entity
Organization
Contact information
Practice address
478 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33441-1604
(954) 949-9917
Mailing address
478 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33441-1604
(954) 949-9917
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
ME83309
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME83309
FLORIDA
FL
Enumeration date
04/22/2013
Last updated
04/22/2013
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