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1831201474
ELLIS L. JACOBS
HALLANDALE BEACH, FL
NPI
1831201474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0131X Podiatrist, Foot Surgery
(Licence: FL Po0652)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Dr. ELLIS L. JACOBS D.P.M.
1001 N FEDERAL HWY SUITE 200
HALLANDALE BEACH, FL 33009-2400
Phone number: 954-454-5221
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Mailing Address
Dr. ELLIS L. JACOBS D.P.M.
1001 N FEDERAL HWY
HALLANDALE BEACH, FL 33009-2400
Phone number: 954-454-5221
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