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NPI Code Detail

MEDICARE: STEPHEN F JACOBS MD

MEDICARE: STEPHEN F JACOBS MD
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
1207RP1001XPulmonary Disease Physician36236FL

General Provider Information

NPI Number : 1154711877
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEPHEN F JACOBS MD
Provider Business Mailing Address
First Line : 2500 N ATLANTIC BLVD
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33305-1912
Country : US
Telephone Number : 954-701-2580
Fax Number : 954-565-7234
Provider Business Practice Location Address
First Line : 2500 N ATLANTIC BLVD
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33305-1912
Country : US
Telephone Number : 954-701-2580
Fax Number : 954-565-7234
Authorized Official
Title or Position : SOLE PROPRIETOR
Name : DR. STEPHEN F JACOBS
Credential : M.D.
Telephone Number : 954-701-2580
Provider Enumeration Date : 02/02/2015
Last Update Date : 02/02/2015

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