MEDICARE: DR. JACOBO ELGOZY DO

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	207R00000X	Internal Medicine Physician	OS10059	FL
2	208000000X	Pediatrics Physician	OS-10059	FL

General Provider Information

NPI Number	:	1518165737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACOBO ELGOZY DO

Provider Business Mailing Address
First Line	:	7191 TAFT ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-3805
Country	:	US
Telephone Number	:	954-639-7258
Fax Number	:	305-357-1678

Provider Business Practice Location Address
First Line	:	7191 TAFT ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-3805
Country	:	US
Telephone Number	:	954-639-7258
Fax Number	:	305-357-1678

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

Provider Enumeration Date	:	07/10/2007
Last Update Date	:	01/07/2026

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Directions to “ DR. JACOBO ELGOZY DO” Practice Location

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