Individual
ILENE S KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
789 S FEDERAL HWY, SUITE 102, FORT LAUDERDALE, FL 33316-1245
(954) 462-8323
(954) 463-1149
Mailing address
1608 SE 3RD AVE, THIRD FLOOR CBO-PBO, FORT LAUDERDALE, FL 33316-2564
(954) 462-8323
(954) 463-1149
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0077144
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257881600
—
FL
Enumeration date
09/30/2005
Last updated
11/06/2014
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