Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Evan S Jacobs, MD

Individual provider Internal Medicine Physician · NPI 1215179882

Dr. Evan S Jacobs, MD is a Cardiovascular Disease (Cardiology) in Coconut Creek, Florida. Graduated from University of Miami, Lm Miller School of Medicine in 2009, 17 years ago. Practices with Conviva Specialty LLC, an 18-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Louisiana.

Years since qualifying
17
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
FL, LA
In the registry since
2009
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4828 Coconut Creek Pkwy
Coconut Creek, FL 33063
Phone: (954) 247-2168
Fax: (844) 501-2948
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2131 N State Road 7, Margate, FL 33063-5713 — (954) 247-2168

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence ME 122723 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME 122723 (FL)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence MD.205228 (LA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD. 205228 (LA)

Record details

NPI number1215179882
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2009
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Conviva Specialty Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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