Individual provider · Type 1 NPI
Ellis L. Jacobs, D.P.M.
Foot Surgery Podiatrist · Hallandale Beach, FL
NPI number
1831201474
Active
Practice location
1001 N Federal Hwy, Suite 200
Hallandale Beach, FL 33009-2400
Fax (954) 458-4232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | PO0652 (FL) |
Foot Surgery Podiatrist: Definition to come...
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Other foot surgery podiatrist providers in Hallandale Beach
About NPI 1831201474
Ellis L. Jacobs, D.P.M.'s National Provider Identifier is 1831201474, issued on Aug 31, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Hallandale Beach, FL. The record was last updated on Jul 8, 2007.