Provider Demographics
NPI:1902284615
Name:DORBUCK, ADRIANNE ROSSBACH (AP)
Entity Type:Individual
Prefix:MS
First Name:ADRIANNE
Middle Name:ROSSBACH
Last Name:DORBUCK
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3004 POOLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-2650
Mailing Address - Country:US
Mailing Address - Phone:561-628-6862
Mailing Address - Fax:561-907-4889
Practice Address - Street 1:3004 POOLSIDE DR
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-2650
Practice Address - Country:US
Practice Address - Phone:561-628-6862
Practice Address - Fax:561-907-4889
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-13
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3363171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist