MEDICARE: DR. ALEXANDER FRIEDRICH KUFFER MD, DMD, PHD

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	208600000X	Surgery Physician	ME172191	FL

General Provider Information

NPI Number	:	1841971678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER FRIEDRICH KUFFER MD, DMD, PHD

Provider Business Mailing Address
First Line	:	17222 HOSPITAL BLVD STE 226
Second Line	:
City	:	BROOKSVILLE
State	:	FL
Zip	:	34601-8925
Country	:	US
Telephone Number	:	516-835-7674
Fax Number	:

Provider Business Practice Location Address
First Line	:	17222 HOSPITAL BLVD STE 226
Second Line	:
City	:	BROOKSVILLE
State	:	FL
Zip	:	34601-8925
Country	:	US
Telephone Number	:	516-835-7674
Fax Number	:

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

Provider Enumeration Date	:	07/25/2023
Last Update Date	:	05/06/2026

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