MEDICARE: DR. EMERY D JAFFE MD

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	207W00000X	Ophthalmology Physician	ME60216	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12501	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396791448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMERY D JAFFE MD

Provider Business Mailing Address
First Line	:	18999 BISCAYNE BLVD
Second Line	:	SUITE 201
City	:	AVENTURA
State	:	FL
Zip	:	33180-2814
Country	:	US
Telephone Number	:	305-945-7433
Fax Number	:	305-933-0940

Provider Business Practice Location Address
First Line	:	2801 NE 213TH ST STE 201
Second Line	:
City	:	AVENTURA
State	:	FL
Zip	:	33180-1264
Country	:	US
Telephone Number	:	305-653-6500
Fax Number	:	305-933-0940

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

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	12/14/2020

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Directions to “ DR. EMERY D JAFFE MD” Practice Location

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