| Jacobo Elgozy M.d.p.a | |
|
7191 Taft St Hollywood FL 33024-3805 | |
| (646) 401-2389 | |
| (305) 357-1678 |
| Full Name | Jacobo Elgozy M.d.p.a |
|---|---|
| Speciality | Internal Medicine |
| Location | 7191 Taft St, Hollywood, Florida |
| Authorized Official Name and Position | Jacobo Elgozy (PRESIDENT) |
| Authorized Official Contact | 6464012389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacobo Elgozy M.d.p.a 2350 N University Dr # 840736 Pembroke Pines FL 33024-3614 Ph: (646) 401-2389 | Jacobo Elgozy M.d.p.a 7191 Taft St Hollywood FL 33024-3805 Ph: (646) 401-2389 |
| NPI Number | 1073741963 |
|---|---|
| Provider Enumeration Date | 06/30/2009 |
| Last Update Date | 06/26/2023 |
| Medicare PECOS PAC ID | 6901942838 |
|---|---|
| Medicare Enrollment ID | O20091007000522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073741963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS-10059 (Florida) | Primary |
| Provider Name | Jacobo Elgozy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518165737 PECOS PAC ID: 1355437922 Enrollment ID: I20071011000514 |
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