Jacobs Well

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

SW6661 Issued in FL

Legal business name

JACOBS WELL

Practice address

9990 SW 77TH Ave Ste 204
Miami, FL 33156-2660

Phone

(305) 517-3142

NPI assigned

Mar 10, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Donna Isidora

Title

Ceo

Phone

(305) 517-3142

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1699136192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9990 SW 77TH AVE STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562660",
            "telephone_number": "305-517-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9990 SW 77TH AVE STE 204",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562660",
            "telephone_number": "305-517-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBS WELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "ISIDORA",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-517-3142",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "SW6661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Levy, MD PA
• Allan I Jacob, MD
• Cristine Jacob
• Jorge Jacobi, M.D.
• Jose Martin Jacobo Remedios
• Andrew Jacobs
• John Harold Jacobs, CRNA
• Judy Ann Jacobs, D.C.
• Karen Talpins Jacobs, M.D.
• Michael Harris Jacobs, M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.