Provider Demographics
| NPI: | 1003231788 |
|---|---|
| Name: | DOCTORS BILLING LLC |
| Entity type: | Organization |
| Organization Name: | DOCTORS BILLING LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | MANAGER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | ANDREY |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | ROSSIN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 786-942-0502 |
| Mailing Address - Street 1: | 2310 SE 2ND ST |
| Mailing Address - Street 2: | SUITE 7 |
| Mailing Address - City: | BOYNTON BEACH |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 33435-7280 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 2310 SE 2ND ST |
| Practice Address - Street 2: | SUITE 7 |
| Practice Address - City: | BOYNTON BEACH |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33435-7280 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 786-942-0502 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2014-03-04 |
| Last Update Date: | 2014-03-04 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| FL | ME83014 | 2084P0802X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 2084P0802X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Addiction Psychiatry | Group - Single Specialty |