Healthcare Provider Details

I. General information

NPI: 1295471076
Provider Name (Legal Business Name): DJR CONSULTANTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2022
Last Update Date: 05/05/2022
Certification Date: 05/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22181 TRILLIUM WAY
BOCA RATON FL
33433-4843
US

IV. Provider business mailing address

22181 TRILLIUM WAY
BOCA RATON FL
33433-4843
US

V. Phone/Fax

Practice location:
  • Phone: 917-586-7224
  • Fax: 305-893-5287
Mailing address:
  • Phone: 917-586-7224
  • Fax: 305-893-5287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANIEL J ROBBIN
Title or Position: PRESIDENT
Credential: DMD
Phone: 917-586-7224