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

Mitchell Jacobson, PA-C

Individual provider Physician Assistant · NPI 1386344778

Mitchell Jacobson, PA-C is a Physician Assistant in Fort Lauderdale, Florida. Qualified in 2022, 4 years ago. Practices with Florida Practitioners, LLC, a 62-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1995 E Oakland Park Blvd Ste 310
Fort Lauderdale, FL 33306-1138
Phone: (954) 791-6146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9117133 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA9117133 (FL)

Record details

NPI number1386344778
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 6, 2023
Last updated in NPPESMarch 6, 2023
Certification dateNovember 7, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Florida Practitioners, Llc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Fort Lauderdale