Organization
KENNETH S JAFFE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH SCOTT JAFFE M.D. (DOCTOR PRESIDENT)
(561) 439-0308
Entity
Organization
Contact information
Practice address
130 JOHN F KENNEDY DRIVE, SUITE 134, ATLANTIS, FL 33462
(561) 439-0308
(561) 439-0371
Mailing address
130 JFK DRIVE, SUITE 134, ATLANTIS, FL 33462
(561) 439-0308
(561) 439-0371
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110233181
RAILROAD MEDICARE
FL
05
—
260146000
—
FL
01
—
269348
AVMED
FL
01
—
97340
BCBSFL
FL
Enumeration date
10/02/2007
Last updated
02/03/2012
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