| Organization Name: | JEAN CLAUDE DUBOIS, P.A. |
| NPI Number: | 1992067193 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEAN CLAUDE DUBOIS (PHYSICIAN/OWNER) |
| Mailing Address: | 601 E Sample Rd Room 110 Pompano Beach |
| State: | FL US |
| Postal Code: | 330644443 |
| Phone Number: | 9547835151 |
| Fax Number: | 9547830219 |
| NPI Enumeration Date: | 06/13/2012 |
| NPI Last Update Date: | 11/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME0053632 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |