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Organization

TODD JACOBS PA

Active
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Organization

TODD JACOBS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUZANNE GARVY-CARR (CREDENTIAL)
(561) 575-0643
Entity
Organization

Contact information

Practice address
4725 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-4603
(954) 234-6908
Mailing address
10055 VINTAGE PL, PARKLAND, FL 33076-3915
(954) 234-6908

Taxonomy

Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
ME90301
FL

Other

Enumeration date
02/16/2007
Last updated
10/08/2010
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