Jacobs, Samuel Laban
Jacobs, Samuel Laban is an individual health care provider with primary practice located at 780 Sw 24Th St , Fort Lauderdale FL 33315-2643. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Reproductive Endocrinology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Jacobs, Samuel Laban can be contacted via phone (954) 412-7252.Contact Information
Primary practice address
780 Sw 24Th St
Fort Lauderdale FL 33315-2643
Phone: (954) 412-7252
Fax: (954) 848-2685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 25MA06031700 | New Jersey |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD039416L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | MD039416L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | 25MA060317100 | New Jersey |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME124293 | Florida |
Profile Details
| NPI number | 1881677508 |
|---|---|
| LBN Legal business name | Jacobs, Samuel Laban |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Mar 7th, 2022 - about 2 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 | 1881677508 | NPPES |
| Florida | MEDICAID | 0157600300 |
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