EMMANUEL P JACOB (NPI# 1902283211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902283211 |
| Entity Type | Individual |
| Full Name | EMMANUEL P JACOB |
| Credential | M.D. |
| Practice Address |
3601 Sw 160th Ave Ste 250 Miramar FL 33027-6314 |
| Mailing Address |
133 Malden St Malden MA 02148-6518 |
| Practice Telephone | 8778667123 |
| Mailing Telephone | (781) 249-0303 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 272930 | MA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 121 Dekalb Ave, Brooklyn, NY 112015425 | 7182508000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912090689 | Emmanuel Egipto Jacob | Acupuncturist | 39 South River Street, Plains, PA 18705 | 2006-10-02 |
| Street Address |
3601 SW 160TH AVE STE 250 |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33027-6314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427811 | William H Cantey | Family Medicine | 3601 Sw 160th Ave Ste 250, Miramar, FL 33027-6314 | 2005-06-18 |
| 1306225883 | Megan Zimmerly | Family Medicine | 3601 Sw 160th Ave Ste 250, Miramar, FL 33027-6314 | 2015-05-29 |
| 1801280888 | Ronak Kedia | Family Medicine | 3601 Sw 160th Ave Ste 250, Miramar, FL 33027-6314 | 2015-03-26 |
| 1619384674 | Susan Shilan Yang | Family Medicine | 3601 Sw 160th Ave Ste 250, Miramar, FL 33027-6314 | 2014-07-22 |
| 1760897045 | Valerie N Allen | Family Medicine | 3601 Sw 160th Ave Ste 250, Miramar, FL 33027-6314 | 2014-06-25 |
| 1144654070 | Elton Taylor II | Family Medicine | 3601 Sw 160th Ave Ste 250, Miramar, FL 33027-6314 | 2013-08-27 |
| 1417214768 | Jonathan James Mcclain | Family Medicine | 3601 Sw 160th Ave Ste 250, Miramar, FL 33027-6314 | 2012-04-11 |
| 1235403742 | Wilder Rucker | Family Medicine | 3601 Sw 160th Ave Ste 250, Miramar, FL 33027-6314 | 2012-03-01 |
| 1245520030 | Justin Bhupendra Mahida | Family Medicine | 3601 Sw 160th Ave Ste 250, Miramar, FL 33027-6314 | 2011-04-13 |
| 1063742740 | Amaury Guerra Gutierrez | Family Medicine | 3601 Sw 160th Ave Ste 250, Miramar, FL 33027 | 2010-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474808 | A&d Community Mental Health, LLC | Community/Behavioral Health | 1333 Sw 16th Ave, Pembroke Pines, FL 33027 | 2020-10-12 |
| 1275172256 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12681 Miramar Parkway, Miramar, FL 33027 | 2019-12-23 |
| 1902449424 | Marine M Brown | Nurse Practitioner | 4343 Sw 128th Avenue, Mirmar, FL 33027 | 2019-10-28 |
| 1427699107 | Suncare Therapy, Inc | Physical Therapist | 111 Grant Palms Dr, Pembroke Pines, FL 33027 | 2019-10-03 |
| 1245888080 | Nicole Angelique Munoz | Nurse Practitioner | 12600 Pembroke Rd Ste 200, Miramar, FL 33027 | 2019-08-26 |
| 1770052334 | Katalyst Health, LLC | Family Medicine | 14704 Sw 11 Street, Pembroke Pines, FL 33027 | 2018-11-13 |
| 1700362076 | Jovani Miguel Gonzalez | Dentist | 3600 Sw 163rd Ave, Miramar, FL 33027 | 2018-07-19 |
| 1336648310 | Janelle Monique Mitchell | Behavior Technician | 3350 Sw 148th Ave Suite 110, Miramar, FL 33027 | 2018-02-06 |
| 1437667557 | Elizabeth Connors | Specialist/Technologist | 17089 Sw 16th St, Pembroke Pines, FL 33027 | 2018-01-11 |
| 1992217806 | Bibi Farida Roberts | Counselor | 3590 Sw 142nd Ave, Miramar, FL 33027 | 2017-11-01 |
| Find all providers in zip 33027 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609339563 | Annecie Fils | Family Medicine | 14080 Sw 53rd St, Miramar, FL 33027-5995 | 2019-04-08 |
| 1558830158 | Karina Vannessa Croasdaile | Family Medicine | 3399 Sw 142nd Ave, Miramar, FL 33027-3762 | 2018-11-13 |
| 1770086134 | As Help Services Corp | Family Medicine | 8910 Miramar Pkwy Ste 203, Miramar, FL 33025-4130 | 2018-03-13 |
| 1245758812 | Lunie Madhere | Family Medicine | 7201 Harbour Blvd, Miramar, FL 33023 | 2017-09-05 |
| 1659801439 | Desiree Verina Nugent | Family Medicine | 3772 Sw 93rd Ave, Miramar, FL 33025 | 2017-06-14 |
| 1598217507 | Dr Gidwani M D LLC | Family Medicine | 3920 Sw 186th Way, Miramar, FL 33029-2720 | 2016-10-26 |
| 1225454804 | Scott Francis Binet | Family Medicine | 8009 Miramar Pkwy, Miramar, FL 33025-3004 | 2014-03-06 |
| 1508122490 | Friman Family LLC | Family Medicine | 5118 Sw 183rd Ave, Miramar, FL 33029-6315 | 2012-04-05 |
| 1205169158 | Suzanna Dotson Md Pa | Family Medicine | 18222 Sw 25th St, Miramar, FL 33029-5183 | 2009-09-10 |
| 1417158759 | Christopher George Ramsaran | Family Medicine | 12781 Miramar Pkwy Ste 1-202, Miramar, FL 33027 | 2007-05-31 |
| Find all providers in MIRAMAR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.