Healthcare Provider Details

I. General information

NPI: 1861647950
Provider Name (Legal Business Name): ROBERT G WERBOFF MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2008
Last Update Date: 01/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 PGA BLVD SUITE 101
PALM BEACH GARDENS FL
33410-2958
US

IV. Provider business mailing address

2700 PGA BLVD SUITE 101
PALM BEACH GARDENS FL
33410-2958
US

V. Phone/Fax

Practice location:
  • Phone: 561-691-1488
  • Fax:
Mailing address:
  • Phone: 561-691-1488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number82682
License Number StateFL

VIII. Authorized Official

Name: ROBERT GARY WERBOFF
Title or Position: PRESIDENT
Credential: M.D.
Phone: 941-391-4872