Healthcare Provider Details

I. General information

NPI: 1780644385
Provider Name (Legal Business Name): JEAN CLAUDE LABISSIERE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 NORTH CONGRESS AVE SUITE 206
BOYNTON BEACH FL
33426-8612
US

IV. Provider business mailing address

555 N CONGRESS AVE
BOYNTON BEACH FL
33426-3469
US

V. Phone/Fax

Practice location:
  • Phone: 561-739-9333
  • Fax: 561-739-9911
Mailing address:
  • Phone: 561-739-9333
  • Fax: 561-739-9911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberME94972
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberME94972
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberME94972
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME94972
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: