Active NPI
Todd Jacobs PA
- Ph.D. Medical Genetics
- Fort Lauderdale, FL
National Provider Identifier
1396889036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ph.D. Medical Genetics
- License
- ME90301
- Legal business name
- TODD JACOBS PA
- Practice address
- 4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603 - Phone
- (954) 234-6908
- NPI assigned
- Feb 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Suzanne Garvy-Carr
- Title
- Credential
- Phone
- (561) 575-0643
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ph.D. Medical Genetics | 170100000X | ME90301 | FL | Primary |
Addresses
Primary practice location
4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Mailing address
10055 Vintage PL
Parkland, FL 33076-3915
Phone (954) 234-6908
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286496000000",
"number": "1396889036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10055 VINTAGE PL",
"city": "PARKLAND",
"state": "FL",
"postal_code": "330763915",
"telephone_number": "954-234-6908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4725 N FEDERAL HWY",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333084603",
"telephone_number": "954-234-6908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TODD JACOBS PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2010-10-08",
"status": "A",
"authorized_official_last_name": "GARVY-CARR",
"authorized_official_first_name": "SUZANNE",
"authorized_official_title_or_position": "CREDENTIAL",
"authorized_official_telephone_number": "561-575-0643",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "170100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Medical Genetics, Ph.D. Medical Genetics",
"state": "FL",
"license": "ME90301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
- TLC Recovery Center of South Florida (Evolutions Treatment Center)
- Stephanie Tobon, CRNA
- Paul E Tocci, MD
- Todd Darmody, MD, Inc (Advanced Endocrine Care)
- Todd Darmody, MD, Inc (Advanced Endocrine Care)
- Bradley P Todd, DPM
- Georgina Alma Todd, MD
- Stephanie Todd
- Manuel M Tojar, MD
- Ryan Tokryman, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.