10D2181107 CLIA NUMBER - MARK JAFFE MD PA

Laboratory Demographics

CLIA Number: 10D2181107

Facility Name: MARK JAFFE MD PA

Facility Address:
9900 STIRLING RD #102
HOLLYWOOD, FL
ZIP 33024
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Facility Phone Number: 954 441-9995

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1730160615

Taxonomy: 207RR0500X - Internal Medicine
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

CLIA Record

Field Name	Field Value
CLIA Number	10D2181107
LAB Type	Physician Office
Facility Name	MARK JAFFE MD PA
Street	9900 STIRLING RD #102
City	HOLLYWOOD
State	FL
ZIP	33024
Phone	954 441-9995
CertificateType	4
CertificateEffectiveDate	3/26/2024
CertificateExpirationDate	3/25/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024