Jacobson, Mitchell Mayer

Jacobson, Mitchell Mayer is an individual health care provider with primary practice located at 3107 Stirling Road #300, Ft. Lauderdale FL 33312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Jacobson, Mitchell Mayer can be contacted via phone (954) 963-7100.

Contact Information

Primary practice address
3107 Stirling Road #300 Ft. Lauderdale FL 33312
Phone: (954) 963-7100
Fax: (954) 894-3320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 15380 Wisconsin
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X ME118317 Florida

Profile Details

NPI number 1346254539
LBN Legal business name Jacobson, Mitchell Mayer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346254539 NPPES
Wisconsin MEDICAID 1346254539

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