Individual
DR. JACOB PARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4515 WILES RD STE 201, COCONUT CREEK, FL 33073-3414
(954) 943-1133
(954) 783-6845
Mailing address
4515 WILES RD STE 201, COCONUT CREEK, FL 33073-3414
(954) 943-1133
(954) 783-6845
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301105492
MI
208800000X
Urology Physician
2019024767
MO
208800000X
Urology Physician
Primary
ME154933
FL
Other
Enumeration date
06/18/2014
Last updated
03/28/2022
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