| NPI | 1467727990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALVON JACOBS Physician President 561-624-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME66801) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-03-16 |