Individual
DR. ANDREW TODD JAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 VILLAGE SQUARE XING STE 290, PALM BEACH GARDENS, FL 33410-4552
(392) 321-1802
Mailing address
900 VILLAGE SQUARE XING STE 290, PALM BEACH GARDENS, FL 33410-4552
(392) 321-1802
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME78335
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51838Z
MEDICARE PTAN
FL
01
—
ME 78335
MEDICAL LICENSE
FL
01
—
ME78335
LICENSE
FL
Enumeration date
02/23/2006
Last updated
10/18/2023
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