Individual
DR. MARK JAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9900 STIRLING RD STE 102, HOLLYWOOD, FL 33024-8043
(954) 441-9995
(954) 391-8834
Mailing address
9900 STIRLING RD STE 102, HOLLYWOOD, FL 33024-8043
(954) 441-9995
(954) 391-8834
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
ME68879
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28291U
MEDICARE PTAN
FL
05
—
379137800
—
FL
Enumeration date
11/08/2005
Last updated
04/22/2019
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