Provider Demographics
NPI:1679549059
Name:ARAJ, JEFFREY SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:SCOTT
Last Name:ARAJ
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 1:7000 SPYGLASS CT
Mailing Address - Street 2:SUITE 260
Mailing Address - City:VIERA
Mailing Address - State:FL
Mailing Address - Zip Code:32940-8288
Mailing Address - Country:US
Mailing Address - Phone:321-254-7880
Mailing Address - Fax:321-254-7707
Practice Address - Street 1:7000 SPYGLASS CT
Practice Address - Street 2:SUITE 260
Practice Address - City:VIERA
Practice Address - State:FL
Practice Address - Zip Code:32940-8288
Practice Address - Country:US
Practice Address - Phone:321-254-7880
Practice Address - Fax:321-254-7707
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC819362085R0202X
FLME00463512085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME0046351OtherMEDICAL LICENSE NUMBER
FLK4543OtherMEDICARE GROUP PIN
FLD50435Medicare UPIN
FLME0046351OtherMEDICAL LICENSE NUMBER