Individual
JOHN COURTNEY KAUFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10000 SW INNOVATION WAY, PORT ST LUCIE, FL 34987-2111
(772) 345-8100
Mailing address
226 EAGLE DR, JUPITER, FL 33477-4060
(917) 226-5646
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
132622
NY
207RG0100X
Gastroenterology Physician
Primary
ME148331
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00725402
—
NY
Enumeration date
08/26/2005
Last updated
02/19/2025
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