Provider Demographics
NPI:1255380564
Name:JACOBS, KAREN TALPINS (MD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:TALPINS
Last Name:JACOBS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:11041 PINE LODGE TRL
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-7317
Mailing Address - Country:US
Mailing Address - Phone:954-474-8099
Mailing Address - Fax:954-474-8099
Practice Address - Street 1:6619 S DIXIE HWY
Practice Address - Street 2:SUITE #165
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-7919
Practice Address - Country:US
Practice Address - Phone:305-220-2273
Practice Address - Fax:305-559-6569
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-06
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME727792085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL06491OtherAM.BOARD/NUCLEAR MEDICINE
FL260618600Medicaid
FLME72779OtherMEDICAL LICENSE #
44678OtherAM. BOARD OF RADIOLOGY
44678OtherAM. BOARD OF RADIOLOGY
44678OtherAM. BOARD OF RADIOLOGY