MEDICARE: DR. STEVEN D JAFFE DPM

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	213ES0103X	FL
2	213E00000X	Podiatrist	P01445	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1174549216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN D JAFFE DPM

Provider Business Mailing Address
First Line	:	1325 S CONGRESS AVE
Second Line	:	#108
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-5802
Country	:	US
Telephone Number	:	561-734-3960
Fax Number	:	561-734-2811

Provider Business Practice Location Address
First Line	:	1325 S CONGRESS AVE
Second Line	:	#108
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-5802
Country	:	US
Telephone Number	:	561-734-3960
Fax Number	:	561-734-2811

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	09/27/2011

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Directions to “ DR. STEVEN D JAFFE DPM” Practice Location

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