Provider Demographics
NPI:1871749812
Name:JEFFREY PLATT,MD.,INC.
Entity type:Organization
Organization Name:JEFFREY PLATT,MD.,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:PLATT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-684-8999
Mailing Address - Street 1:14671 N BECKLEY SQ
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33325-3069
Mailing Address - Country:US
Mailing Address - Phone:954-684-8999
Mailing Address - Fax:954-472-6322
Practice Address - Street 1:14671 N BECKLEY SQ
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33325-3069
Practice Address - Country:US
Practice Address - Phone:954-684-8999
Practice Address - Fax:954-472-6322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-11
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81713208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH66845Medicare UPIN
58012XMedicare PIN
FL58012VMedicare PIN