Provider Demographics
NPI:1205225794
Name:SOFFER, BENJAMIN (DO)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:
Last Name:SOFFER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 CLINT MOORE RD # 5060
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-2041
Mailing Address - Country:US
Mailing Address - Phone:561-468-6981
Mailing Address - Fax:561-709-4606
Practice Address - Street 1:2901 CLINT MOORE RD # 5060
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-2041
Practice Address - Country:US
Practice Address - Phone:561-468-6981
Practice Address - Fax:561-709-4606
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-21
Last Update Date:2023-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS13821207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine