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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881677508 NPPES
Florida MEDICAID 0157600300

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