Individual
DR. FATAN JAAFAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
340 N WYMORE RD STE B, WINTER PARK, FL 32789-2823
(407) 613-2473
(407) 613-2474
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(407) 613-2473
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME110851
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005523100
—
FL
01
—
PENDING
MEDICARE
FL
Enumeration date
10/02/2008
Last updated
03/11/2021
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