MITCHELL JACOBSON PA-C NPI 1386344778

NPI Information

  • NPI: 1386344778
  • Provider Name: MITCHELL JACOBSON, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1995 E OAKLAND PARK BLVD STE 310
    FORT LAUDERDALE, FL
    ZIP 33306
  • Phone: (954) 791-6146

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NPI Details

Mitchell Jacobson, PA-C is a surgical physician assistant in Fort Lauderdale, FL with 4 years of experience. Mitchell Jacobson, PA-C NPI is 1386344778. 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:

1995 E OAKLAND PARK BLVD STE 310
FORT LAUDERDALE, FL
ZIP 33306-138
Phone: (954) 791-6146

The NPI 1386344778 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 3/6/2023 and was last updated on 3/6/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA9117133FLORIDANo
2363AS0400XPhysician AssistantSurgicalPA9117133FLORIDAYes

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: 11/21/2025

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