Broward Podiatry Associates, PA

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

PO1504 Issued in FL

Legal business name

BROWARD PODIATRY ASSOCIATES, PA

Practice address

3816 Hollywood Blvd
Suite 206
Hollywood, FL 33021-6750

Phone

(954) 987-0550

Fax

(954) 987-0553

NPI assigned

Apr 26, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. George F. Jacobson, DPM

Title

President/Owner

Phone

(954) 987-0550

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luis A Robaina, MD

  • General Practice Physician
  • Hollywood, FL
  • NPI 1639334923
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1003133489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 HOLLYWOOD BLVD",
            "address_2": "SUITE 206",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216750",
            "telephone_number": "954-987-0550",
            "fax_number": "954-987-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 HOLLYWOOD BLVD",
            "address_2": "SUITE 206",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216750",
            "telephone_number": "954-987-0550",
            "fax_number": "954-987-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD PODIATRY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "954-987-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO1504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340172300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Broward Psychological Associates, Inc
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• Primary Podiatric Medicine Podiatrist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Primary Podiatric Medicine Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.