Healthcare Provider Details

I. General information

NPI: 1104757939
Provider Name (Legal Business Name): SUSAN ANN JACOBSON HOPKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 FAIRWAY DR STE 101
DEERFIELD BEACH FL
33441-1834
US

IV. Provider business mailing address

621 TUPELO ST
NEW ORLEANS LA
70117-2131
US

V. Phone/Fax

Practice location:
  • Phone: 954-324-4234
  • Fax:
Mailing address:
  • Phone: 954-324-4234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: