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JACOB & JACOB MD PA
NPI 1275793564
Specialist in Fort Lauderdale, FL

Active since June 11, 2008
2101 NE 26TH STREET, FORT LAUDERDALE, FL 33305(954) 564-8542(954) 564-3364 Get Directions Write a Review

NPPES record last updated: June 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob & Jacob Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB & JACOB MD PA (NPI 1275793564) is a healthcare organization registered as a specialist in Fort Lauderdale, Florida and active in the NPI registry since June 2008. The organization lists Mireille Coles, Physician, as its authorized official.

NPPES Registry Identity

NPI1275793564
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJACOB & JACOB MD PA
Location Address2101 NE 26TH STREETFort Lauderdale, FL 33305
Mailing Address2101 Ne 26th StWilton Manors, FL 33305-1535 · (954) 564-8542 · Fax (954) 564-3364
Phone(954) 564-8542
Fax(954) 564-3364
Organization SubpartNo
Authorized OfficialMireille ColesPhysician · (954) 564-8542
Enumeration DateJune 11, 2008
✔ NPI 1275793564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME34383
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2101 NE 26TH STREET, Fort Lauderdale, FL 33305
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Other Identifiers 2

Medicare PIN93750FL
Medicare PIN93830FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob & Jacob MD PA's NPI number?

The NPI number for Jacob & Jacob MD PA is 1275793564. It was assigned to this organization in the NPPES registry on June 11, 2008.

Where is Jacob & Jacob MD PA located?

Jacob & Jacob MD PA is located at 2101 NE 26th Street, Fort Lauderdale, FL 33305. The listed phone number is (954) 564-8542.

What is Jacob & Jacob MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jacob & Jacob MD PA was last updated on June 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.