Individual
DR. SAMUEL LABAN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
780 SW 24TH ST, FORT LAUDERDALE, FL 33315-2643
(954) 412-7252
(954) 848-2685
Mailing address
780 SW 24TH ST, FORT LAUDERDALE, FL 33315-2643
(954) 467-4700
(954) 467-4704
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MA06031700
NJ
207V00000X
Obstetrics & Gynecology Physician
MD039416L
PA
207V00000X
Obstetrics & Gynecology Physician
Primary
ME124293
FL
207VE0102X
Reproductive Endocrinology Physician
25MA060317100
NJ
207VE0102X
Reproductive Endocrinology Physician
MD039416L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0157600300
—
FL
Enumeration date
11/28/2005
Last updated
03/07/2022
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