Jacobo, Elias C
Jacobo, Elias C is an individual health care provider with primary practice located at 701 W Cocoa Beach Cswy , Cocoa Beach FL 32931-5595. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Hospitalist, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Jacobo, Elias C can be contacted via phone (321) 868-5871.Contact Information
Primary practice address
701 W Cocoa Beach Cswy
Cocoa Beach FL 32931-5595
Phone: (321) 868-5871
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | ME44908 | Florida |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME44908 | Florida |
Other Service Providers / Specialist | 174400000X | ME44908 | Florida |
Profile Details
NPI number | 1275696437 |
---|---|
LBN Legal business name | Jacobo, Elias C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 19th, 2006 |
Last updated | Nov 20th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275696437 | NPPES |
Florida | MEDICAID | 022594600 | |
Florida | Other | 08258V |
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