Provider Demographics
NPI:1861839532
Name:STUART J KAUFMAN MD & ASSOC PA
Entity Type:Organization
Organization Name:STUART J KAUFMAN MD & ASSOC PA
Other - Org Name:JUST SPECS OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:JON
Authorized Official - Last Name:KAUFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-788-7616
Mailing Address - Street 1:2145 CYPRESS RIDGE BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6303
Mailing Address - Country:US
Mailing Address - Phone:813-973-1133
Mailing Address - Fax:813-973-1144
Practice Address - Street 1:2145 CYPRESS RIDGE BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6303
Practice Address - Country:US
Practice Address - Phone:813-973-1133
Practice Address - Fax:813-973-1144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies