Individual
JEFFREY ROSS FIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
951 NW 13TH ST, SUITE 1C, BOCA RATON, FL 33486-2359
(561) 447-9341
(561) 447-9352
Mailing address
951 NW 13TH ST, SUITE 1C, BOCA RATON, FL 33486-2359
(561) 447-9341
(561) 447-9352
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
44906
CT
2085R0202X
Diagnostic Radiology Physician
Primary
88342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268314800
—
FL
Enumeration date
03/31/2006
Last updated
12/03/2025
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