Provider Demographics
NPI:1972382976
Name:DR BENJAMIN SOFFER PLLC
Entity Type:Organization
Organization Name:DR BENJAMIN SOFFER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOFFER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:561-468-6981
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-27
Last Update Date:2023-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty