Small, Jacob
Small, Jacob is an sole proprietor health care provider with primary practice located at 13805 Sw 78Th Ct , Palmetto Bay FL 33158-1109. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Allopathic & Osteopathic Physicians / Surgery. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Small, Jacob can be contacted via phone (305) 972-2614.Contact Information
Primary practice address
13805 Sw 78Th Ct
Palmetto Bay FL 33158-1109
Phone: (305) 972-2614
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | ARNP2163832 | Florida |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME51250 | Florida |
Profile Details
NPI number | 1477550176 |
---|---|
LBN Legal business name | Small, Jacob |
Credentials | PHD, ARNP-C |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 7th, 2005 |
Last updated | May 9th, 2024 - about 7 months 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 | 1477550176 | NPPES |
Florida | MEDICAID | 304943400 |
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