Provider Demographics
NPI:1063408516
Name:GORFINKEL, HARVEY JOEL (MD)
Entity type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:JOEL
Last Name:GORFINKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:H.
Other - Middle Name:JOEL
Other - Last Name:GORFINKEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:9136 RIBBONS RIDGE PT
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33473-5000
Mailing Address - Country:US
Mailing Address - Phone:614-206-5611
Mailing Address - Fax:561-739-9409
Practice Address - Street 1:9136 RIBBONS RIDGE PT
Practice Address - Street 2:SUITE 600
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33473-5000
Practice Address - Country:US
Practice Address - Phone:614-206-5611
Practice Address - Fax:561-739-9409
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-21
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME113041207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GO0446301Medicare ID - Type Unspecified
C01515Medicare UPIN