Martin Jacobson, D.C., P.a.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

CH0004008 Issued in FL

Legal business name

MARTIN JACOBSON, D.C., P.A.

Practice address

1051 Port Malabar Blvd NE
Suite 2
Palm Bay, FL 32905-5153

Phone

(321) 725-7003

NPI assigned

Mar 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Martin Jacobson, D.C.

Title

Owner

Phone

(321) 725-7003

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1174899041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 PORT MALABAR BLVD. NE",
            "address_2": "SUITE 2",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32905",
            "telephone_number": "321-725-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 PORT MALABAR BLVD NE",
            "address_2": "SUITE 2",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055153",
            "telephone_number": "321-725-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN JACOBSON, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-725-7003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "FL",
            "license": "CH0004008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051196000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marjorie Doreen Thompson
• Flavia Marques Campoy, FNP-C
• Liliana Mercedes Marshall, DMD
• Marchalee Amoya Marshall
• Shirley A Marshall, MD
• Kristen Martin
• Maryann Martin, N.P.
• Rayna Martin
• Aislyn Martine, APRN
• Elizabeth Ann Martinez, RN

• Orthopedic Chiropractor in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Orthopedic Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.