Organization
KENNETH S. JAFFE, M.D., P.A.
Active
Organization
KENNETH S. JAFFE, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH SCOTT JAFFE M.D. (PRESIDENT)
(561) 439-0308
Entity
Organization
Contact information
Practice address
7138 LAKE WORTH RD, LAKE WORTH, FL 33467-2970
(561) 439-0308
(561) 439-0371
Mailing address
130 JOHN F KENNEDY DR, SUITE 134, ATLANTIS, FL 33462-1141
(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
10/24/2012
Last updated
10/24/2012
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