Healthcare Provider Details

I. General information

NPI: 1831196922
Provider Name (Legal Business Name): FREDERICK JAMES LAUFER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6315 AMBERWOOD DR
BOCA RATON FL
33433-3737
US

IV. Provider business mailing address

23625 COMMERCE PARK #204
BEACHWOOD OH
44122-5845
US

V. Phone/Fax

Practice location:
  • Phone: 216-255-5735
  • Fax: 216-255-5701
Mailing address:
  • Phone: 216-255-5700
  • Fax: 216-255-5701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number162764-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD037052
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME60884
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: