Individual
KENNETH S JEFFERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 CORAL HILLS DR STE 202, CORAL SPRINGS, FL 33065-4139
(954) 320-2640
(954) 320-2610
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 320-2640
(954) 320-2610
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME75879
FL
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
ME75879
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254901800
—
FL
01
—
262501
BCBS
FL
Enumeration date
06/22/2006
Last updated
04/03/2024
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