Provider Demographics
NPI:1134166218
Name:PRESS, JEFFREY A (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:A
Last Name:PRESS
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 1:7593 BOYNTON BEACH BLVD
Mailing Address - Street 2:SUITE 280
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-6154
Mailing Address - Country:US
Mailing Address - Phone:561-733-5888
Mailing Address - Fax:888-714-5190
Practice Address - Street 1:6056 BOYNTON BEACH BLVD STE 215
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3500
Practice Address - Country:US
Practice Address - Phone:561-733-5888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME66510174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00443890OtherMEDICARE RAIL ROAD
FL60412OtherNEIGHBORHOOD HEALTH
FL375612200Medicaid
FL09230OtherHEALTHEASE
FL25481OtherBCBS
FL4502111OtherAETNA
FL60412OtherNEIGHBORHOOD HEALTH
FLP00443890OtherMEDICARE RAIL ROAD