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Organization

KENNETH JEFFERS, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARCIA YOUNG (OFFICE MANAGER)
(561) 296-2345
Entity
Organization

Contact information

Practice address
12983 SOUTHERN BLVD, SUITE 102, LOXAHATCHEE, FL 33470-9207
(561) 296-2345
(561) 296-2346
Mailing address
12983 SOUTHERN BLVD, SUITE 102, LOXAHATCHEE, FL 33470-9207
(561) 296-2345
(561) 296-2346

Taxonomy

Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
ME75879
FL

Other

Enumeration date
07/10/2008
Last updated
07/10/2008
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