Provider Demographics
NPI:1174595326
Name:RICH, JEFFREY A (DO)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:A
Last Name:RICH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:7887 N KENDALL DR
Mailing Address - Street 2:STE 225
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7758
Mailing Address - Country:US
Mailing Address - Phone:305-663-8877
Mailing Address - Fax:305-663-1262
Practice Address - Street 1:7887 N KENDALL DR STE 225
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7758
Practice Address - Country:US
Practice Address - Phone:305-663-8877
Practice Address - Fax:786-466-8579
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2020-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS6846207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL254827500Medicaid
FL254827500Medicaid
FLF74933Medicare UPIN