- Practice location
- 3601 SW 160TH Ave Ste 250, Miramar, FL 33027-6314
- Phone
- 877-866-7123
- Fax
- —
- Last updated
- March 28, 2024
Emmanuel P Jacob is a Surgery based in Miramar, FL. Emmanuel P Jacob practices in Miramar, FL and has the professional credentials of MD. The NPI Number for Emmanuel P Jacob is 1902283211 and holds a License No. 272930 (MA). The current practice location address for Emmanuel P Jacob is 3601 SW 160TH Ave Ste 250, Miramar, FL 33027-6314 and can be reached out via phone at 877-866-7123.
Provider Profile Details
- NPI Number
- 1902283211
- Provider Name
- Emmanuel P Jacob
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3601 SW 160TH Ave Ste 250, Miramar, FL 33027-6314
- Phone Number
- 877-866-7123
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 6, 2015
- Last Update Date
- March 28, 2024
- Certification Date
- March 28, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3601 SW 160TH Ave Ste 250
Miramar, FL 33027-6314 - City
- Miramar
- State
- Florida
- Zip
- 33027-6314
- Phone Number
- 877-866-7123
Provider Business Mailing Address Details
- Address
- 133 Malden St
Malden, MA 02148-6518 - City
- Malden
- State
- MA
- Zip
- 02148-6518
- Phone Number
- 781-249-0303
License Information
- License Number (1)
- 272930
- License State (1)
- MA
- Taxonomy (1)
- Surgery · 208600000X · Primary
- License Number (2)
- 272930
- License State (2)
- MA
- Taxonomy (2)
- Family Medicine · 207Q00000X
- Taxonomy (3)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Emmanuel P Jacob, MD?
The NPI number of Emmanuel P Jacob, MD is 1902283211. It was assigned on May 6, 2015 and is currently active in the NPPES registry.
What is the specialty of Emmanuel P Jacob, MD?
Emmanuel P Jacob, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in MA under license number 272930.
Where does Emmanuel P Jacob, MD practice?
The practice location is 3601 SW 160TH Ave Ste 250, Miramar, FL 33027-6314. The office can be reached at 877-866-7123 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902283211 directly on the NPPES registry website.