Jacques, Elvire

Jacques, Elvire is an individual health care provider with primary practice located at 4105 Pembroke Rd , Hollywood FL 33021-8103. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is her primary health care specialty. Jacques, Elvire can be contacted via phone (954) 265-3015.

Contact Information

Primary practice address
4105 Pembroke Rd Hollywood FL 33021-8103
Phone: (954) 265-3015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME84551 Florida
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X ME84551 Florida

Profile Details

NPI number 1104840719
LBN Legal business name Jacques, Elvire
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Nov 3rd, 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 1104840719 NPPES
Florida MEDICAID 111183200

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