MEDICARE: MARIO JACOMINO MD, MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0901X	Public Health & General Preventive Medicine Physician	ME0063760	FL
2	208000000X	Pediatrics Physician	ME0063760	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134158884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIO JACOMINO MD, MPH

Provider Business Mailing Address
First Line	:	182 CITRUS TRAIL CIR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-1829
Country	:	US
Telephone Number	:	561-733-2846
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 GLADES RD # BC-71
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33431-6496
Country	:	US
Telephone Number	:	561-297-0723
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2006
Last Update Date	:	01/31/2022

Similar Medicare Providers

1356043046 — DR. KEVIN MICHAEL GOPALA RAO MD
Practice Location Address:

777 GLADES RD
BOCA RATON, FL
33431-6496

Practice Phone: 561-297-4828
Practice Fax:

1639164635 — LEWIS NELSON M.D.
Practice Location Address:

777 GLADES RD # BC-71
BOCA RATON, FL
33431-6496

Practice Phone: 561-297-0133
Practice Fax:

1174561666 — AMALINNETTE RODRIGUEZ ZITO M.D.
Practice Location Address:

777 GLADES RD # SS 8W240
BOCA RATON, FL
33431-6496

Practice Phone: 561-297-3512
Practice Fax:

1811084460 — DR. MARIA DE LOS ANGELES ORTEGA HERNANDEZ DNP, APRN
Practice Location Address:

777 GLADES RD
BOCA RATON, FL
33431-6496

Practice Phone: 561-297-0506
Practice Fax:

1154401081 — BARBARA KHAN R.D.
Practice Location Address:

777 GLADES RD # SS 8W206B
BOCA RATON, FL
33431-6496

Practice Phone: 561-297-2493
Practice Fax:

1952574071 — MR. GARY MICHAEL KOT CPHT
Practice Location Address:

777 GLADES RD # SS 8W240
BOCA RATON, FL
33431-6496

Practice Phone: 561-297-3512
Practice Fax:

Directions to “ MARIO JACOMINO MD, MPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.