Individual
DR. IRA JOEL JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7431-33 WEST ATLANTIC AVE, DELRAY BEACH, FL 33446-3505
(561) 496-6900
(561) 496-5348
Mailing address
7431-33 WEST ATLANTIC AVE, DELRAY BEACH, FL 33446-3505
(561) 496-6900
(561) 496-5348
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P00001689
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029691100
—
FL
01
—
03288
WELLCARE ID
FL
Enumeration date
11/15/2005
Last updated
03/05/2013
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