Provider Demographics
NPI:1669467437
Name:KAUFMAN, STUART JON (MD)
Entity Type:Individual
Prefix:
First Name:STUART
Middle Name:JON
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6329 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
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME38194207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL253352900Medicaid
FLD53946Medicare UPIN