| Kenneth S Jaffe Md Pa | |
|
130 John F Kennedy Drive Suite 134 Atlantis FL 33462 | |
| (561) 439-0308 | |
| (561) 439-0371 |
| Full Name | Kenneth S Jaffe Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 130 John F Kennedy Drive, Atlantis, Florida |
| Authorized Official Name and Position | Kenneth Scott Jaffe (DOCTOR PRESIDENT) |
| Authorized Official Contact | 5614390308 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth S Jaffe Md Pa 130 Jfk Drive Suite 134 Atlantis FL 33462 Ph: (561) 439-0308 | Kenneth S Jaffe Md Pa 130 John F Kennedy Drive Suite 134 Atlantis FL 33462 Ph: (561) 439-0308 |
| NPI Number | 1235326471 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 02/03/2012 |
| Medicare PECOS PAC ID | 3678474244 |
|---|---|
| Medicare Enrollment ID | O20040116000301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235326471 | NPI | - | NPPES |
| 269348 | Other | FL | AVMED |
| 110233181 | Other | FL | RAILROAD MEDICARE |
| 260146000 | Medicaid | FL | |
| 97340 | Other | FL | BCBSFL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Kenneth S Jaffe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174507529 PECOS PAC ID: 1254232846 Enrollment ID: I20080812000168 |
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Kenneth S. Jaffe, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Jfk Dr, Suite 134, Atlantis, FL 33462 Phone: 561-439-0308 Fax: 561-439-6252 | |
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