Abanoub Boutros, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH12909 Issued in FL

Practice address

5801 S Dixie Hwy Ste a
West Palm Beach, FL 33405-3651

Phone

(561) 308-7145

NPI assigned

Sep 6, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Palm Beach Spine and Sport LLC

  • Chiropractor
  • West Palm Beach, FL
  • NPI 1447885793
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1720637218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 S DIXIE HWY UNIT 2313",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334625524",
            "telephone_number": "561-308-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 S DIXIE HWY STE A",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334053651",
            "telephone_number": "561-308-7145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 S Military Trl Ste 34",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334157513",
            "country_code": "US",
            "telephone_number": "561-453-1321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUTROS",
        "first_name": "ABANOUB",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Bourgeois, CRNA
• Race Elie Bourgeois
• Jolene Bourjolly
• Melpomeni Bourkas
• Patrick Boursiquot, LCSW
• Marianne Boutros, PA-C
• Vivyan Boutros
• Beverly Anne Bowen, DMD
• Tyesha Bowen, AGNP
• Rhonda Bowers

• Chiropractor in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.