Provider Demographics
NPI:1316306020
Name:STUART J. KAUFMAN MD & ASSOC PA
Entity type:Organization
Organization Name:STUART J. KAUFMAN MD & ASSOC PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-788-7616
Mailing Address - Street 1:6329 GALL BLVD
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-2515
Mailing Address - Country:US
Mailing Address - Phone:813-788-7616
Mailing Address - Fax:813-783-2856
Practice Address - Street 1:6329 GALL BLVD
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-2515
Practice Address - Country:US
Practice Address - Phone:813-788-7616
Practice Address - Fax:813-783-2856
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STUART J KAUFMAN MD & ASSOCIATES PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty