Jaffe, Kenneth Scott

Jaffe, Kenneth Scott is an sole proprietor health care provider with primary practice located at 130 John F Kennedy Dr Suite 134, Atlantis FL 33462-1141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Jaffe, Kenneth Scott can be contacted via phone (561) 439-0308.

Contact Information

Primary practice address
130 John F Kennedy Dr Suite 134 Atlantis FL 33462-1141
Phone: (561) 439-0308
Fax: (561) 328-6776
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME78885 Florida

Profile Details

NPI number 1174507529
LBN Legal business name Jaffe, Kenneth Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2005
Last updated Mar 17th, 2017 - about 7 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 1174507529 NPPES
Florida Other 2423088 AETNA
Florida Other 2165459 AETNA
Florida Other H04908 AETNA
Florida Other 002008791-002 AETNA
Florida Other 1023545 AETNA
Florida Other 2509859 AETNA
Florida Other 651050544 AETNA
Florida Other P-2364360 AETNA
Florida Other 0746706 AETNA
Florida Other 51774 AETNA
Florida Other 5269380 AETNA
Florida Other 162142 AETNA
Florida MEDICAID 260146000 AETNA
Florida Other 269348 AETNA

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