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JACOB JOSEPH M.D. P.A. NPI 1184730962


NPI Information

NPI: 1184730962
Provider Name: JACOB JOSEPH M.D., P.A.

Doing Business As: MANATEE ORTHOPAEDIC AND SPORTS MEDICINE CLINIC

Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

Address:
2820 MANATEE AVE W
BRADENTON, FL
ZIP 34205
Phone: (941) 746-1662
Get Directions

JACOB JOSEPH M.D., P.A. is a sports medicine orthopaedic surgery in Bradenton, FL. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. JACOB JOSEPH M.D., P.A. NPI is 1184730962. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Manatee Orthopaedic And Sports Medicine Clinic.

The provider's business location address is:

2820 MANATEE AVE W
BRADENTON, FL
ZIP 34205-237
Phone: (941) 746-1662
Fax: (941) 747-4394

The provider's authorized official is Jacob Joseph .
The authorized official title is Owner and has the following contact phone number (941) 746-1662.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 11/26/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0005XOrthopaedic SurgerySports MedicineME46458FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
140943OTHERFLORIDABLUE CROSS BLUE SHIELD
240943MEDICARE ID-TYPE UNSPECIFIEDFLORIDAGROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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