MICHAEL A JACOBS MD PA
Urology at Burns Rd, West Palm Beach, FL

License number
Florida ME66801
Category
Radiology
Type
Urology
Owner
Name: MICHAEL ALVON JACOBS
Title: PHYSICIAN PRESIDENT
Phone: (561) 624-9797
Address
Address
3370 Burns Rd SUITE 101, West Palm Beach, FL 33410
National Provider ID: 1467727990
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MICHAEL A. JACOBS, M.D., PA

West Palm Beach, FL

Industry:
Medical Doctor's Office
Registration:
Feb 13, 1995
Addresses:
3370 Burns Rd 101, Palm Beach Gardens, FL 33410 (Physical)
3370 Burns Rd, West Palm Beach, FL 33410
State ID:
P95000012028
Business type:
Florida Profit Corporation
President, Treasurer, Director, Secretary:
Michael Amd Jacobs (President, Treasurer, Director, Secretary), 3370 Burns Rd, Palm Beach Gardens, FL 33410 (Physical)
Agent:
Jacobs, M.d. Pmichael,3370 Burns Rd, Palm Beach Gardens, FL 33410 (Physical)
EIN:
65-0555926

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