Organization
DANIEL M JACOBS, M.D, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL JACOBS (OWNER)
(954) 895-2862
Entity
Organization
Contact information
Practice address
319 S RIVERSIDE DR, POMPANO BEACH, FL 33062-5526
(954) 895-2862
Mailing address
2331 N STATE ROAD 7, LAUDERDALE LAKES, FL 33313-3748
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME83309
NY
208D00000X
General Practice Physician
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—
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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