Healthcare Provider Details

I. General information

NPI: 1700073814
Provider Name (Legal Business Name): DEAN B DORFMAN DPM PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2007
Last Update Date: 02/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 E HILLSBORO BLVD
DEERFIELD BEACH FL
33441-3557
US

IV. Provider business mailing address

820 E HILLSBORO BLVD
DEERFIELD BEACH FL
33441-3557
US

V. Phone/Fax

Practice location:
  • Phone: 954-481-3525
  • Fax: 954-481-1620
Mailing address:
  • Phone: 954-481-3525
  • Fax: 954-481-1620

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO1935
License Number StateFL

VIII. Authorized Official

Name: DEAN DORFMAN
Title or Position: OWNER
Credential: MD
Phone: 954-481-3525