Provider Demographics
NPI:1932477312
Name:DR. BRIAN RAPPAPORT P.A.
Entity Type:Organization
Organization Name:DR. BRIAN RAPPAPORT P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAPPAPORT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-369-0808
Mailing Address - Street 1:7410 BOYNTON BEACH BLVD
Mailing Address - Street 2:SUITE B5
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-6156
Mailing Address - Country:US
Mailing Address - Phone:561-369-0808
Mailing Address - Fax:561-374-7448
Practice Address - Street 1:7410 BOYNTON BEACH BLVD
Practice Address - Street 2:SUITE B5
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-6156
Practice Address - Country:US
Practice Address - Phone:561-369-0808
Practice Address - Fax:561-374-7448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty