Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1881016202 Deactivated / Inactive NPI Male Practitioner

Dr. Jibu Williams , DC

Chiropractor • Boca Raton, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jibu Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 21, 2014
NPI Deactivation Date February 20, 2018
Total Practice Duration ~4 Years of Practice (2014 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Jibu Williams, DC was a registered Chiropractor practicing in Boca Raton, FL. Throughout an active medical career spanning 4 years, Dr. Williams provided care at the practice location at 1499 W YAMATO RD until profile deactivation on 2018-02-20.

Practice Location & Contact Primary Location

Practice Address

1499 W Yamato Rd

Boca Raton, FL 33431

Telephone 5612085928

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Boca Raton, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.8 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
131 Specialists

Practicing in Boca Raton, FL (7309 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License FL CH10946

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Erin Espinosa

Nurse Practitioner - Primary Care

NPI 1033079041
NPI 1417285628

Doctor of Chiropractic

Valerie Elmore , APRN

Nurse Practitioner - Family

NPI 1932091055

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
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Updated Practice Location July 13, 2018

Registered at 1499 W YAMATO RD, BOCA RATON, FL 33431 (Tel: 5612085928)

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Updated Business Mailing Address July 13, 2018

Registered at 1499 W YAMATO RD, BOCA RATON, FL 334314435 (Tel: 6120859285)

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Provider Name / Credentials Updated July 13, 2018

Recorded as JIBU WILLIAMS, D.C.

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Updated Practice Location April 12, 2018

Registered at 11400 N KENDALL DR, SUITE 100, MIAMI, FL 331761029 (Tel: 3055982005)

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Updated Business Mailing Address April 12, 2018

Registered at 11400 N KENDALL DR, SUITE 100, MIAMI, FL 331761029 (Tel: 3055982005)

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Provider Name / Credentials Updated April 12, 2018

Recorded as JIBU PUTHOTTILE, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2018

Chiropractor (License #CH10946 in FL)

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NPI Profile Deactivated February 20, 2018

Record deactivated on February 20, 2018

NPI Profile Active January 21, 2014

NPI status registered as active in NPPES database

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Updated Practice Location January 21, 2014

Registered at 11400 N KENDALL DR, SUITE 100, MIAMI, FL 331761029 (Tel: 3055982005)

📍
Updated Business Mailing Address January 21, 2014

Registered at 11400 N KENDALL DR, SUITE 100, MIAMI, FL 331761029 (Tel: 3055982005)

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Provider Name / Credentials Updated January 21, 2014

Recorded as JIBU PUTHOTTILE, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2014

Chiropractor (License #CH10946 in FL)

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Initial NPI Registration & Enumeration January 21, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881016202
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 21, 2014
Last Update: July 13, 2018
Deactivation Date: February 20, 2018
Sole Proprietor: No

Mailing Address

1499 W Yamato Rd

Boca Raton, FL 334314435

Phone: 6120859285

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.