Individual
CHARLES JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(813) 765-7678
Mailing address
240 CENTRAL PARK S, NEW YORK, NY 10019-1457
(813) 765-7678
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME173768
FL
Other
Enumeration date
03/26/2017
Last updated
06/30/2025
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