Jacobo, Elias C

Jacobo, Elias C is an individual health care provider with primary practice located at 701 W Cocoa Beach Cswy , Cocoa Beach FL 32931-5595. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Hospitalist, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Jacobo, Elias C can be contacted via phone (321) 868-5871.

Contact Information

Primary practice address
701 W Cocoa Beach Cswy Cocoa Beach FL 32931-5595
Phone: (321) 868-5871
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME44908 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME44908 Florida
Other Service Providers / Specialist 174400000X ME44908 Florida

Profile Details

NPI number 1275696437
LBN Legal business name Jacobo, Elias C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Nov 20th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275696437 NPPES
Florida MEDICAID 022594600
Florida Other 08258V

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