Healthcare Provider Details

I. General information

NPI: 1972880763
Provider Name (Legal Business Name): DUBOFF CHIROPRACTIC CENTER, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2011
Last Update Date: 01/16/2024
Certification Date: 01/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9250 GLADES RD STE 210
BOCA RATON FL
33434-3958
US

IV. Provider business mailing address

9250 GLADES RD STE 210
BOCA RATON FL
33434-3958
US

V. Phone/Fax

Practice location:
  • Phone: 561-479-4069
  • Fax: 561-479-3332
Mailing address:
  • Phone: 561-479-4069
  • Fax: 561-479-3332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH6268
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. LAWRENCE SCOTT DUBOFF
Title or Position: PRESIDENT
Credential: D.C.
Phone: 561-479-4069