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NPI Code Detail

MEDICARE: ROBERT M JAEGER D.O.

MEDICARE: ROBERT M JAEGER 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 Physician2119861NY
2207R00000XInternal Medicine PhysicianT2636TX
3207Q00000XFamily Medicine PhysicianOS10028FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588699797
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT M JAEGER D.O.
Provider Business Mailing Address
First Line : 315 PALERMO AVE
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-6607
Country : US
Telephone Number : 305-384-8624
Fax Number : 754-300-3262
Provider Business Practice Location Address
First Line : 315 PALERMO AVE
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-6607
Country : US
Telephone Number : 305-384-8624
Fax Number : 754-300-3262
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 02/17/2025

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