Provider Demographics
NPI:1518953918
Name:GAIER, JEFFREY J (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:J
Last Name:GAIER
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:9750 NW 33RD ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4042
Mailing Address - Country:US
Mailing Address - Phone:954-753-8008
Mailing Address - Fax:954-753-4990
Practice Address - Street 1:9750 NW 33RD ST
Practice Address - Street 2:SUITE 205
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4042
Practice Address - Country:US
Practice Address - Phone:954-753-8008
Practice Address - Fax:954-753-4990
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-21
Last Update Date:2024-02-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL48368207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL051210900Medicaid
FL07855Medicare ID - Type Unspecified