Healthcare Provider Details

I. General information

NPI: 1972576668
Provider Name (Legal Business Name): JEFFREY BARRY ALPERSTEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 MILITARY TRAIL SUITE 205
JUPITER FL
33458-4810
US

IV. Provider business mailing address

4600 MILITARY TRAIL SUITE 205
JUPITER FL
33458-4810
US

V. Phone/Fax

Practice location:
  • Phone: 561-776-4950
  • Fax: 561-776-4842
Mailing address:
  • Phone: 561-776-4950
  • Fax: 561-776-4842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberME0035721
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: