Provider Demographics
NPI:1396791448
Name:JAFFE, EMERY D (MD)
Entity type:Individual
Prefix:DR
First Name:EMERY
Middle Name:D
Last Name:JAFFE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:18999 BISCAYNE BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2814
Mailing Address - Country:US
Mailing Address - Phone:305-945-7433
Mailing Address - Fax:305-933-0940
Practice Address - Street 1:2801 NE 213TH ST STE 201
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1264
Practice Address - Country:US
Practice Address - Phone:305-653-6500
Practice Address - Fax:305-933-0940
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2020-12-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME60216207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL12501OtherBCBS
FL3768198-00Medicaid
FL12501XMedicare PIN
FL12501OtherBCBS
FL3768198-00Medicaid