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Mark Jaffe M D P A
Specialist in Pembroke Pines, Florida
NPI 1962410381

Mark Jaffe M D P A is a Specialist based in Pembroke Pines, FL. Mark Jaffe M D P A practices in Pembroke Pines, FL. The NPI Number for Mark Jaffe M D P A is 1962410381 and holds a License No. ME0068879 (Florida).

The current practice location address for Mark Jaffe M D P A is 1 Sw 129Th Ave, Pembroke Pines, FL and can be reached out via phone at 954-441-9995 and via fax at 954-441-9033.

Location: 1 Sw 129Th Ave, Pembroke Pines, FL, 33027-1761
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962410381
Provider Name
Mark Jaffe M D P A
Credential
Provider Entity Type
Organization
Address
1 Sw 129Th Ave, Pembroke Pines, FL, 33027-1761
Phone Number
954-441-9995
Fax Number
954-441-9033
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
379137800 05 FL
FR664A 01 FL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1 Sw 129Th Ave
City
Pembroke Pines
State
Florida
Zip
33027-1761
Phone Number
954-441-9995
Fax Number
954-441-9033
person
Provider Business Mailing Address Details
Address
1 Sw 129Th Ave
City
Pembroke Pines
State
Florida
Zip
33027-1761
Phone Number
954-441-9995
Fax Number
954-441-9033
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME0068879 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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