Provider Demographics
NPI:1780678268
Name:KAUFER, JEFFREY J (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:J
Last Name:KAUFER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9050 CAVATINA PL
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33472-5129
Mailing Address - Country:US
Mailing Address - Phone:561-641-4607
Mailing Address - Fax:561-641-0539
Practice Address - Street 1:9050 CAVATINA PL
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-5129
Practice Address - Country:US
Practice Address - Phone:561-641-4607
Practice Address - Fax:561-641-0539
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5679111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
20296OtherUPN NUMBER
FL051018100Medicaid
FL051018100Medicaid
22148Medicare PIN
22418Medicare ID - Type Unspecified