Jaffe, Todd B
Jaffe, Todd B is an sole proprietor health care provider with primary practice located at 8095 Spyglass Hill Rd Suite 101, Melbourne FL 32940. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Jaffe, Todd B can be contacted via phone (321) 757-0577.Contact Information
Primary practice address
8095 Spyglass Hill Rd Suite 101
Melbourne FL 32940
Phone: (321) 757-0577
Fax: (321) 757-0474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ME0039795 | Florida |
Profile Details
| NPI number | 1629049275 |
|---|---|
| LBN Legal business name | Jaffe, Todd B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Oct 21st, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629049275 | NPPES |
| Florida | MEDICAID | 069221200 |
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