Provider Demographics
NPI:1811996309
Name:JAFFE, SHARON BETH (MD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:BETH
Last Name:JAFFE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3435 PINEHURST AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-4049
Mailing Address - Country:US
Mailing Address - Phone:407-740-0909
Mailing Address - Fax:407-740-7262
Practice Address - Street 1:3435 PINEHURST AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-4049
Practice Address - Country:US
Practice Address - Phone:407-740-0909
Practice Address - Fax:407-740-7262
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME60319207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E83963Medicare UPIN
14689Medicare ID - Type Unspecified