MEDICARE: RADU JACOB 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
1	207RN0300X	Nephrology Physician	ME89216	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	:	1265462873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RADU JACOB MD

Provider Business Mailing Address
First Line	:	8130 ROYAL PALM BLVD
Second Line	:	SUITE 102
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-5703
Country	:	US
Telephone Number	:	954-345-4333
Fax Number	:	954-345-4334

Provider Business Practice Location Address
First Line	:	8130 ROYAL PALM BLVD
Second Line	:	SUITE 102
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-5703
Country	:	US
Telephone Number	:	954-345-4333
Fax Number	:	954-345-4334

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

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	11/20/2008

Similar Medicare Providers

1467303693 — SIMYA JOYCE WORTHY
Practice Location Address:

8130 ROYAL PALM BLVD STE 105
CORAL SPRINGS, FL
33065-5703

Practice Phone: 954-344-6550
Practice Fax:

1730625757 — FLAVIUS NASCIMENTO ARNP
Practice Location Address:

8130 ROYAL PALM BLVD
CORAL SPRINGS, FL
33065-5703

Practice Phone: 945-345-4333
Practice Fax:

1952318610 — JOHN GOMEZ MD
Practice Location Address:

8130 ROYAL PALM BLVD , SUITE #100
CORAL SPRINGS, FL
33065-5703

Practice Phone: 954-341-3538
Practice Fax:

1619080009 — AMERICAN DERMPATH SPECIALISTS INC
Practice Location Address:

8130 ROYAL PALM BLVD , SUITE 201
CORAL SPRINGS, FL
33065-5703

Practice Phone: 954-232-9479
Practice Fax: 954-421-3201

1639219389 — FOUNDATIONS THERAPY, INC.
Practice Location Address:

8130 ROYAL PALM BLVD STE 105
CORAL SPRINGS, FL
33065-5703

Practice Phone: 954-344-6550
Practice Fax: 954-344-8634

1871633529 — IVY KAPLAN B.C.B.A.
Practice Location Address:

8130 ROYAL PALM BLVD STE 105
CORAL SPRINGS, FL
33065-5703

Practice Phone: 954-344-6550
Practice Fax: 954-344-8634

Directions to “ RADU JACOB MD” 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.