Jacob Small, PHD, ARNP-C | |
13805 Sw 78th Ct, Palmetto Bay, FL 33158-1109 | |
(305) 972-2614 | |
Not Available |
Full Name | Jacob Small |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 13805 Sw 78th Ct, Palmetto Bay, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477550176 | NPI | - | NPPES |
304943400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | ARNP2163832 (Florida) | Primary |
208600000X | Surgery | ME51250 (Florida) | Secondary |
Entity Name | Dr. Jacob Small, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649516030 PECOS PAC ID: 7012160450 Enrollment ID: O20130114000447 |
Mailing Address | Practice Location Address |
---|---|
Jacob Small, PHD, ARNP-C 13805 Sw 78th Ct, Palmetto Bay, FL 33158-1109 Ph: (305) 972-2614 | Jacob Small, PHD, ARNP-C 13805 Sw 78th Ct, Palmetto Bay, FL 33158-1109 Ph: (305) 972-2614 |
Mr. Miguel De Jesus Perez Martinez, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 9635 Sw 181st Ter, Palmetto Bay, FL 33157 Phone: 305-238-8561 Fax: 305-238-4089 | |
Mr. Wendy Phreud Edmond, AC-AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9299 Sw 152nd St Ste 203, Palmetto Bay, FL 33157 Phone: 305-322-4166 | |
Alison Rachel Crane, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15725 Sw 82nd Ct, Palmetto Bay, FL 33157 Phone: 206-948-8919 | |
Marni Hochman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13800 Sw 73rd Ave, Palmetto Bay, FL 33158 Phone: 305-282-7734 | |
Mrs. Rebeca Sanchez, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9555 Sw 175th Ter, Pmb #629, Palmetto Bay, FL 33157 Phone: 305-209-4373 | |
Maritza Reyes Ortega, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9861 E Fern St, Palmetto Bay, FL 33157 Phone: 786-713-0083 Fax: 786-227-6247 | |
Anay Portieles, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9299 Sw 152nd St Ste 202, Palmetto Bay, FL 33157 Phone: 305-255-2500 |