Individual
MR. MICHAEL A JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PA
Contact information
Practice address
3370 BURNS RD, SUITE 101, PALM BEACH GARDENS, FL 33410-4327
(561) 624-9797
(561) 624-0416
Mailing address
3370 BURNS RD, SUITE 101, PALM BEACH GARDENS, FL 33410-4327
(561) 624-9797
(561) 624-0416
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0066801
FL
Other
Enumeration date
11/29/2005
Last updated
06/08/2011
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