Jaffe, Mark
Jaffe, Mark is an individual health care provider with primary practice located at 9900 Stirling Rd Ste 102 , Hollywood FL 33024-8043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Jaffe, Mark can be contacted via phone (954) 441-9995.Contact Information
Primary practice address
9900 Stirling Rd Ste 102
Hollywood FL 33024-8043
Phone: (954) 441-9995
Fax: (954) 391-8834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | ME68879 | Florida |
Profile Details
| NPI number | 1730160615 |
|---|---|
| LBN Legal business name | Jaffe, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Apr 22nd, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730160615 | NPPES |
| Florida | Other | 28291U | MEDICARE PTAN |
| Florida | MEDICAID | 379137800 | MEDICARE PTAN |
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