IndividualActive
Ellis Jacobs, D.P.M.
NPI 1831201474 · Foot Surgery Podiatrist · Hallandale Beach, FL
Provider details
- NPI number
- 1831201474
- Entity type
- Individual
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PO0652 (FL)
Practice location
1001 N Federal Hwy
Suite 200
Hallandale Beach, FL 33009-2400
Phone: (954) 454-5221
Fax: (954) 458-4232
Mailing address
1001 N Federal Hwy
Hallandale Beach, FL 33009-2400
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.