Provider Demographics
NPI:1386019081
Name:MD OF SOUTH FLORIDA, LLC.
Entity Type:Organization
Organization Name:MD OF SOUTH FLORIDA, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ISRAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RABINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:754-209-1013
Mailing Address - Street 1:9733 ERICA CT
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-1942
Mailing Address - Country:US
Mailing Address - Phone:754-209-1013
Mailing Address - Fax:
Practice Address - Street 1:9733 ERICA CT
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-1942
Practice Address - Country:US
Practice Address - Phone:754-209-1013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-07
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty