Kaufman, Ilene S

Kaufman, Ilene S is an individual health care provider with primary practice located at 789 S Federal Hwy Suite 102, Fort Lauderdale FL 33316-1245. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kaufman, Ilene S can be contacted via phone (954) 462-8323.

Contact Information

Primary practice address
789 S Federal Hwy Suite 102 Fort Lauderdale FL 33316-1245
Phone: (954) 462-8323
Fax: (954) 463-1149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0077144 Florida

Profile Details

NPI number 1144217514
LBN Legal business name Kaufman, Ilene S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Nov 6th, 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 1144217514 NPPES
Florida MEDICAID 257881600

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