Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | OS14877 | FL |
Y | 208600000X | Surgeon | OS14877 | FL |
N | 2086S0105X | Surgery of the Hand | OS14877 | FL |
NPI | 1679912851 |
---|---|
Provider Name | Dr. Jacob Ihsan Jabbour |
First Address | Miami, FL 33145-1768 |
Second Address | Miami Beach, FL 33140-3500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2013 |
Last Update Date | 06/04/2021 |