DR. Jacob Convissar, DO is a student in an organized health care education training program in Miami, FL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Jacob Convissar, DO NPI is 1154959971. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3100 SW 62ND AVE
MIAMI, FL
ZIP 33155-009
Phone: (305) 669-5873
The NPI 1154959971 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/28/2020 and was last updated on 4/6/2020.