Provider Demographics
NPI:1689663296
Name:ALPER, JEFFREY A (MD P A)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:A
Last Name:ALPER
Suffix:
Gender:M
Credentials:MD P A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:689 9TH ST N
Mailing Address - Street 2:SUITE C
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-8100
Mailing Address - Country:US
Mailing Address - Phone:239-262-6550
Mailing Address - Fax:239-261-9658
Practice Address - Street 1:689 9TH ST N
Practice Address - Street 2:SUITE C
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-8100
Practice Address - Country:US
Practice Address - Phone:239-262-6550
Practice Address - Fax:239-261-9658
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-17
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME39139207RR0500X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL046220900Medicaid
P00056783OtherRR MEDICARE
FLME39139OtherLICENSE
FLME39139OtherLICENSE
94446AMedicare PIN