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General NPI Number Information
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NPI Number | 1538190467
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Entity Type | Individual
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Provider Name | DEBRA MELANIE JAFFE M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 13005 SOUTHERN BLVD SUITE 131
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-9206
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Country | US
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Telephone | 561-793-5077
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Fax | 561-784-8243
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Provider Business Mailing Address
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Address Line | 13005 SOUTHERN BLVD SUITE 131
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-9206
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Country | US
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Telephone | 561-793-5077
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Fax | 561-784-8243
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YP0228X
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Taxonomy Name | Pediatric Otolaryngology Physician
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License Number | ME86007
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License Number State | FL
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