Daniel M Jacobs MD PA
Clinical Medical Laboratory in Deerfield Beach, FL. Organization (NPI-2).
NPI number1760619910
StatusActive
Last updated in NPPESAug 3, 2011
Details
- NPI
- 1760619910
- Entity type
- Organization (NPI-2)
- Legal business name
- Daniel M Jacobs MD PA
- Organization subpart
- No
- Enumeration date
- Jun 15, 2009
- Last updated
- Aug 3, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | 800025654 | FL | Yes |
Other names
- Propathmed LLC (Doing Business As)
Practice location
458 W Hillsboro BlvdDeerfield Beach, FL 33441-1604
Phone 954-895-2862 · Fax 414-607-3946
Mailing address
2200 North Mayfair RoadSuite 200
Wauwatosa, WI 53226-2252
Phone 414-258-9511 · Fax 414-607-3946
Authorized official
Daniel M Jacobs
Owner
9548952862
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