Provider Demographics
NPI:1386783892
Name:RABINOVITZ, JOSEPH (EDD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:RABINOVITZ
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2295 NW CORPORATE BLVD
Mailing Address - Street 2:231
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7373
Mailing Address - Country:US
Mailing Address - Phone:561-241-8822
Mailing Address - Fax:561-995-9799
Practice Address - Street 1:2295 NW CORPORATE BLVD
Practice Address - Street 2:SUITE 231
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7373
Practice Address - Country:US
Practice Address - Phone:561-241-8822
Practice Address - Fax:561-995-9799
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY4022103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL73228Medicare PIN