Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | OS 14144 | FL |
N | 207XS0106X | Orthopaedic Hand Surgeon | OS 14144 | FL |
NPI | 1124394341 |
---|---|
Provider Name | Dr. Jacob S Landes |
First Address | Fort Lauderdale, FL 33309-3750 |
Second Address | Deerfield Beach, FL 33064-3547 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2012 |
Last Update Date | 11/10/2019 |