| Kenneth S. Jaffe, M.d., P.a. | |
|
10301 Hagen Ranch Rd Suite B-550 Boynton Beach FL 33437-3724 | |
| (561) 374-8677 | |
| (561) 374-8796 |
| Full Name | Kenneth S. Jaffe, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 10301 Hagen Ranch Rd, Boynton Beach, Florida |
| Authorized Official Name and Position | Kenneth Scott Jaffe (PRESIDENT) |
| Authorized Official Contact | 5614390308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth S. Jaffe, M.d., P.a. 130 Jfk Dr Suite 134 Atlantis FL 33462-1141 Ph: (561) 439-0308 | Kenneth S. Jaffe, M.d., P.a. 10301 Hagen Ranch Rd Suite B-550 Boynton Beach FL 33437-3724 Ph: (561) 374-8677 |
| NPI Number | 1629227269 |
|---|---|
| Provider Enumeration Date | 09/18/2008 |
| Last Update Date | 09/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629227269 | NPI | - | NPPES |
| 260146000 | Medicaid | FL | |
| 269348 | Other | FL | AVMED |
| 110233181 | Other | FL | RAILROAD MEDICARE |
| 97340 | Other | FL | BCBSFL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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