NPIMap

Organization Active NPI

Jean Claude Dubois, P.a.

  • General Practice Physician
  • Pompano Beach, FL
National Provider Identifier
1992067193
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME0053632 Issued in FL
Legal business name
JEAN CLAUDE DUBOIS, P.A.
Practice address
601 E Sample Rd
Room 110
Pompano Beach, FL 33064-4443
Phone
(954) 783-5151
Fax
(954) 783-0219
NPI assigned
Jun 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Dr. Jean Claude Dubois, MD
Title
Physician/Owner
Phone
(954) 783-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X ME0053632 FL Primary

Addresses

Primary practice location

601 E Sample Rd
Room 110
Pompano Beach, FL 33064-4443

Mailing address

601 E Sample Rd
Room 110
Pompano Beach, FL 33064-4443
Phone (954) 783-5151

National Provider Directory

National Provider Directory

Locations

601 E Sample Rd
Ste 110
Deerfield Beach, FL 33064
Phone (954) 783-5151

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1992067193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E SAMPLE RD",
            "address_2": "ROOM 110",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644443",
            "telephone_number": "954-783-5151",
            "fax_number": "954-783-0219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E SAMPLE RD",
            "address_2": "ROOM 110",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330644443",
            "telephone_number": "954-783-5151",
            "fax_number": "954-783-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN CLAUDE DUBOIS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "DUBOIS",
        "authorized_official_first_name": "JEAN CLAUDE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "954-783-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0053632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.