Individual
KENNETH SCOTT JAFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 JOHN F KENNEDY DR, SUITE 134, ATLANTIS, FL 33462-1141
(561) 439-0308
(561) 328-6776
Mailing address
130 JOHN F KENNEDY DR, SUITE 134, ATLANTIS, FL 33462-1141
(561) 439-0308
(561) 328-6776
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME78885
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002008791-002
UNITED HEALTH CARE
FL
01
—
0746706
CIGNA
FL
01
—
1023545
PHCS
FL
01
—
162142
UNIVERSAL HEALTHCARE
FL
01
—
2165459
WELLCARE
FL
01
—
2423088
AETNA
FL
01
—
2509859
GHI
FL
05
—
260146000
—
FL
01
—
269348
AVMED
FL
01
—
51774
BLUE CROSS BLUE SHEILD
FL
01
—
5269380
CCN
FL
01
—
651050544
HEALTH CARE DISTRIC
FL
01
—
H04908
VISTA
LA
01
—
P-2364360
FIRST HEALTH
FL
Enumeration date
11/30/2005
Last updated
03/17/2017
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