Daniel M Jacobs MD PA

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800025654 Issued in FL

Legal business name

DANIEL M JACOBS MD PA

Practice address

458 W Hillsboro Blvd
Deerfield Beach, FL 33441-1604

Phone

(954) 895-2862

Fax

(414) 607-3946

NPI assigned

Jun 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Daniel M Jacobs, MD

Title

Owner

Phone

(954) 895-2862

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Propathmed LLC Doing business as

Locations

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1760619910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NORTH MAYFAIR ROAD",
            "address_2": "SUITE 200",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262252",
            "telephone_number": "414-258-9511",
            "fax_number": "414-607-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411604",
            "telephone_number": "954-895-2862",
            "fax_number": "414-607-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL M JACOBS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-895-2862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800025654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00921513",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Propathmed LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dimitria Dalusma
• Clavel W Daly, PHARM.D.
• Raquel Damus
• Dan H. Meirson, M.D., P.a.
• Maria Dangond
• Daniel Max & Marcandrea, LLC
• Dionne Lanell Daniels
• Heather Rae Daniels
• Kwanisha D Daniels
• Kira Mae Danse IV

• Clinical Medical Laboratory in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.