Provider Demographics
NPI:1114127008
Name:DANIEL LOBOVITS, PH.D., P.A.
Entity Type:Organization
Organization Name:DANIEL LOBOVITS, PH.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LOBOVITS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-995-9798
Mailing Address - Street 1:2295 NW CORPORATE BLVD STE 231
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7323
Mailing Address - Country:US
Mailing Address - Phone:561-241-8822
Mailing Address - Fax:561-995-9799
Practice Address - Street 1:2295 NW CORPORATE BLVD
Practice Address - Street 2:SUITE 231
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7328
Practice Address - Country:US
Practice Address - Phone:561-241-8822
Practice Address - Fax:561-995-9799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 0005283101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK5881Medicare PIN