Rockefeller, Jeffrey J

Rockefeller, Jeffrey J is an individual health care provider with primary practice located at 675 W Indiantown Rd Suite 102, Jupiter FL 33458-7548. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Rockefeller, Jeffrey J can be contacted via phone (561) 744-2828.

Contact Information

Primary practice address
675 W Indiantown Rd Suite 102 Jupiter FL 33458-7548
Phone: (561) 744-2828
Fax: (561) 746-9842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO1518 Florida

Profile Details

NPI number 1528194586
LBN Legal business name Rockefeller, Jeffrey J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jul 8th, 2007 - about 17 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 1528194586 NPPES
Florida MEDICAID 041392500

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