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NPI Code Detail

MEDICARE: ERIN DONNELLE JEFFERS D.O.

MEDICARE: ERIN DONNELLE JEFFERS D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician34010656OH
2207Q00000XFamily Medicine PhysicianOS015971PA

General Provider Information

NPI Number : 1073753141
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN DONNELLE JEFFERS D.O.
Provider Business Mailing Address
First Line : 3601 SW 160TH AVE STE 250
Second Line :
City : MIRAMAR
State : FL
Zip : 33027-6314
Country : US
Telephone Number : 954-399-4673
Fax Number :
Provider Business Practice Location Address
First Line : 4001 ROSSLYN DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45209-1111
Country : US
Telephone Number : 954-399-4673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2009
Last Update Date : 09/19/2025

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