Healthcare Provider Details

I. General information

NPI: 1770420515
Provider Name (Legal Business Name): ADB MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21301 POWERLINE RD STE 107
BOCA RATON FL
33433-2389
US

IV. Provider business mailing address

20833 PINAR TRL
BOCA RATON FL
33433-1617
US

V. Phone/Fax

Practice location:
  • Phone: 347-721-6512
  • Fax:
Mailing address:
  • Phone: 347-721-6512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW DAVID BENNETT
Title or Position: PRESIDENT
Credential: MD
Phone: 347-721-6512