Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | ME0054330 | FL |
Y | 111NI0900X | Internist | ME0054330 | FL |
N | 207RA0401X | Internist - Addiction Medicine | ME0054330 | FL |
NPI | 1124034673 |
---|---|
Provider Name | Jeffrey David Kamlet |
First Address | Miami Beach, FL 33140-3627 |
Second Address | Miami Beach, FL 33140-3627 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 14/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
061577304 | (05) | FL |
A65110 | (02) |