Broward Podiatry Associates, PA
Podiatrist, Primary Podiatric Medicine in Hollywood, FL. Organization (NPI-2).
NPI number1003133489
StatusActive
Last updated in NPPESApr 26, 2010
Details
- NPI
- 1003133489
- Entity type
- Organization (NPI-2)
- Legal business name
- Broward Podiatry Associates, PA
- Organization subpart
- No
- Enumeration date
- Apr 26, 2010
- Last updated
- Apr 26, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213EP1101X | Podiatrist, Primary Podiatric Medicine | PO1504 | FL | Yes |
Practice location
3816 Hollywood BlvdSuite 206
Hollywood, FL 33021-6750
Phone 954-987-0550 · Fax 954-987-0553
Mailing address
3816 Hollywood BlvdSuite 206
Hollywood, FL 33021-6750
Phone 954-987-0550 · Fax 954-987-0553
Authorized official
George F. Jacobson
President/Owner
9549870550
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