NPI 1003133489

Broward Podiatry Associates, PA

Organisation Primary Podiatric Medicine Podiatrist Hollywood, FL

Practice location

Address: 3816 Hollywood Blvd Suite 206, Hollywood, FL 33021-6750
Phone: (954) 987-0550
Fax: (954) 987-0553

Authorised official

Name: George F. Jacobson
Title: President/Owner
Phone: (954) 987-0550

Registered specialties

Primary Podiatric Medicine Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence PO1504 (FL)

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Registry record

NPI: 1003133489
Entity type: Organization
NPI issued: 26 Apr 2010
Record last updated: 26 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.