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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