Organization
GULF COAST CERTIFIED PRIMARY CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT H JAFFE D.O. (PRESIDENT)
(239) 498-5760
Entity
Organization
Contact information
Practice address
3384 WOODS EDGE CIR STE 103, BONITA SPRINGS, FL 34134-1367
(239) 498-5760
(239) 498-5763
Mailing address
3384 WOODS EDGE CIR STE 103, BONITA SPRINGS, FL 34134-1367
(239) 498-5760
(239) 498-5763
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
OS8523
FL
Other
Enumeration date
05/30/2007
Last updated
06/03/2011
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