Provider Demographics
NPI:1720043607
Name:RAJTER, JEAN-JACQUES (MD)
Entity Type:Individual
Prefix:DR
First Name:JEAN-JACQUES
Middle Name:
Last Name:RAJTER
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 1:1001 S ANDREWS AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33316-1015
Mailing Address - Country:US
Mailing Address - Phone:954-906-6000
Mailing Address - Fax:954-860-7650
Practice Address - Street 1:1001 S ANDREWS AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-1015
Practice Address - Country:US
Practice Address - Phone:954-906-6000
Practice Address - Fax:954-860-7650
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 96997207RP1001X, 207RC0200X, 207RS0012X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012110940001Medicaid
FL278050000Medicaid