MEDICARE: DR DAVID J DORFMAN DC PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH0007334	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	55570	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1568588341
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR DAVID J DORFMAN DC PA

Provider Business Mailing Address
First Line	:	9291 NUGENT TRL
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-6327
Country	:	US
Telephone Number	:	561-333-4442
Fax Number	:	561-422-7870

Provider Business Practice Location Address
First Line	:	9291 NUGENT TRL
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-6327
Country	:	US
Telephone Number	:	561-333-4442
Fax Number	:	561-422-7870

Authorized Official
Title or Position	:	OFFICER
Name	:	DR. DAVID J DORFMAN
Credential	:	DC
Telephone Number	:	561-333-4442

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	08/22/2020

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