Healthcare Provider Details

I. General information

NPI: 1215698055
Provider Name (Legal Business Name): MAX GORFINKEL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2022
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10139 NW 31ST ST STE 102
CORAL SPRINGS FL
33065-3908
US

IV. Provider business mailing address

2601 E OAKLAND PARK BLVD STE 205
FT LAUDERDALE FL
33306-1658
US

V. Phone/Fax

Practice location:
  • Phone: 954-342-0982
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW26633
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: