Provider Demographics
NPI:1831818673
Name:DABBECH, ATEF (SOLE PROPRIETOR)
Entity type:Individual
Prefix:MR
First Name:ATEF
Middle Name:
Last Name:DABBECH
Suffix:
Gender:M
Credentials:SOLE PROPRIETOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 N FEDERAL HWY STE 201
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6005
Mailing Address - Country:US
Mailing Address - Phone:561-200-3904
Mailing Address - Fax:
Practice Address - Street 1:3401 N FEDERAL HWY STE 201
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6005
Practice Address - Country:US
Practice Address - Phone:561-200-3904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL238408374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL903287Medicaid