Individual
PETER JOHN JAFFE
Active
Individual
PETER JOHN JAFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS8375
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223383833
TAX IDENTIFICATION NUMBER
FL
01
—
51541
BLUE CROSS BLUE SHIELD
FL
01
—
DMERC
4736770002
FL
01
—
OS8375
STATE LICENSE
FL
01
—
RAILROAD MEDICARE
250014152
FL
Enumeration date
01/17/2007
Last updated
04/14/2023
Update your record
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