Provider Demographics
NPI:1083838692
Name:STUART J KAUFMAN MD & ASSOC PA
Entity Type:Organization
Organization Name:STUART J KAUFMAN MD & ASSOC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:J
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-788-7616
Mailing Address - Street 1:PO BOX 917462
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-7462
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?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0713410001OtherDMERC