Individual provider Active NPI

Mireille Antonine Coles, MD

  • Infectious Disease Physician
  • Fort Lauderdale, FL
National Provider Identifier
1790802841
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME0035833 Issued in FL
Practice address
2101 NE 26TH St
Fort Lauderdale, FL 33305
Phone
(954) 564-8542
Fax
(954) 564-3364
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0035833 FL
Infectious Disease Physician 207RI0200X ME0035833 FL Primary

Addresses

Primary practice location

2101 NE 26TH St
Fort Lauderdale, FL 33305

Mailing address

2101 NE 26TH St
Fort Lauderdale, FL 33305
Phone (954) 564-8542

Other names 1

  • Mireille Antonine Coles Jacob Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0035833FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jacob & Jacob MD PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1790802841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 NE 26TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33305",
            "telephone_number": "954-564-8542",
            "fax_number": "954-564-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NE 26TH ST",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33305",
            "telephone_number": "954-564-8542",
            "fax_number": "954-564-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLES",
        "first_name": "MIREILLE",
        "middle_name": "ANTONINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0035833",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME0035833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIREILLE",
            "last_name": "COLES JACOB",
            "middle_name": "ANTONINE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.