Healthcare Provider Details

I. General information

NPI: 1710699392
Provider Name (Legal Business Name): TAMI DUBROW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2022
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 N FLAGLER DR STE 600
WEST PALM BEACH FL
33401-3430
US

IV. Provider business mailing address

33 SE 8TH ST
BOCA RATON FL
33432-6121
US

V. Phone/Fax

Practice location:
  • Phone: 561-513-6342
  • Fax: 561-513-6343
Mailing address:
  • Phone: 603-852-6213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: