Provider Demographics
NPI:1275955981
Name:KAUFMAN, ARIEL MOISES (MD)
Entity Type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:MOISES
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2234 COLONIAL BLVD
Mailing Address - Street 2:ATTN: PAYER CONTRACTING & RELATIONS DEPT.
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-1412
Mailing Address - Country:US
Mailing Address - Phone:239-931-7342
Mailing Address - Fax:239-931-7385
Practice Address - Street 1:2140 W 68TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1815
Practice Address - Country:US
Practice Address - Phone:305-822-7227
Practice Address - Fax:305-749-8160
Is Sole Proprietor?:No
Enumeration Date:2014-01-15
Last Update Date:2016-11-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME75963208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1112699OtherWELLCARE
FLP01601020OtherRR MEDICARE
FL382097OtherAVMED
FL1201743OtherCIGNA
FL14ZR1OtherBCBS
FL4984824OtherAETNA
FLP971455OtherOPTIMUM
FL14413OtherDIMENSION
FLP01782587OtherSIMPLY HEALTH
FLP1035672OtherFREEDOM
FLP01601020OtherRR MEDICARE