Provider Demographics
NPI:1962652388
Name:JEFFREY J GAIER M D P A
Entity Type:Organization
Organization Name:JEFFREY J GAIER M D P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:J
Authorized Official - Last Name:GAIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-753-8008
Mailing Address - Street 1:9750 NW 33RD ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4042
Mailing Address - Country:US
Mailing Address - Phone:954-753-8008
Mailing Address - Fax:954-753-4990
Practice Address - Street 1:9750 NW 33RD ST
Practice Address - Street 2:SUITE 205
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4042
Practice Address - Country:US
Practice Address - Phone:954-753-8008
Practice Address - Fax:954-753-4990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-22
Last Update Date:2024-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME48368174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL051210900Medicaid
FL051210900Medicaid