Provider Demographics
NPI:1508982372
Name:DORFMAN, DAVID J (DC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:J
Last Name:DORFMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9291 NUGENT TRL
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-6327
Mailing Address - Country:US
Mailing Address - Phone:561-333-4442
Mailing Address - Fax:561-422-7870
Practice Address - Street 1:9291 NUGENT TRL
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-6327
Practice Address - Country:US
Practice Address - Phone:561-333-4442
Practice Address - Fax:561-422-7870
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0007334111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55570OtherBLUE CROSS BLUE SHIELD