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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ELLIS L. JACOBS, D.P.M.

Active Sole Proprietor

DR. ELLIS L. JACOBS, D.P.M. is a Foot Surgery Podiatrist healthcare provider located in HALLANDALE BEACH, Florida. NPI 1831201474 is currently active in the NPPES registry. Verify at CMS.

Foot Surgery Podiatrist · HALLANDALE BEACH, FL

Registration Details

NPI Number
1831201474
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2006 (19.981504970508 yrs)
Last Updated
Jul 8, 2007
License
PO0652 (FL)
Sole Proprietor
Yes

Practice Information

Address
1001 N FEDERAL HWY
SUITE 200
HALLANDALE BEACH, FL, 330092400
Browse FL providers · Browse ZIP 33009
Phone
9544545221
Fax
9544584232
Primary Specialty
Foot Surgery Podiatrist
213ES0131X

Other Foot Surgery Podiatrist Providers in HALLANDALE BEACH, FL

Name Credential NPI
DR. BARRY R. BLOCK D.P.M. 1851403489
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.