Provider Demographics
NPI:1730373960
Name:KAUFMAN, JANE ALLISON (L AP)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:ALLISON
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:L AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14707 S DIXIE HWY
Mailing Address - Street 2:SUITE 309
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-7948
Mailing Address - Country:US
Mailing Address - Phone:786-242-3885
Mailing Address - Fax:786-242-3885
Practice Address - Street 1:14707 S DIXIE HWY
Practice Address - Street 2:SUITE 309
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-7948
Practice Address - Country:US
Practice Address - Phone:786-242-3885
Practice Address - Fax:786-242-3885
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1887171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAP1887OtherACUPUNCTURE LICENSE