Provider Demographics
NPI:1215165436
Name:JOB DORCIL MD PA
Entity type:Organization
Organization Name:JOB DORCIL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOB
Authorized Official - Middle Name:
Authorized Official - Last Name:DORCIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-721-7111
Mailing Address - Street 1:1325 S CONGRESS AVE
Mailing Address - Street 2:SUITE #114
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-5876
Mailing Address - Country:US
Mailing Address - Phone:561-721-7111
Mailing Address - Fax:
Practice Address - Street 1:1325 S CONGRESS AVE
Practice Address - Street 2:SUITE #114
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-5876
Practice Address - Country:US
Practice Address - Phone:561-721-7111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-25
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 99159207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Multi-Specialty