Fidel, Jeffrey Ross

Fidel, Jeffrey Ross is an individual health care provider with primary practice located at 951 Nw 13Th St Suite 1C, Boca Raton FL 33486-2359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Fidel, Jeffrey Ross can be contacted via phone (561) 447-9341.

Contact Information

Primary practice address
951 Nw 13Th St Suite 1C Boca Raton FL 33486-2359
Phone: (561) 447-9341
Fax: (561) 447-9352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 88342 Florida

Profile Details

NPI number 1164483780
LBN Legal business name Fidel, Jeffrey Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Aug 29th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164483780 NPPES
Florida MEDICAID 268314800

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