Dorilas Foundation Corporation

NPI 1114319902 - General Practice - 208D00000X

NPI Details
NPI 1114319902
Enumeration Date 03/03/2015
Last Updated 03/03/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name FANUEL FANUEL
Position PHYSICIAN
Phone (954) 478-2041
Fax
Practice Location
3510 NW 8TH ST
FORT LAUDERDALE FL, 33311-6416, US
Phone (954) 478-2041
Fax
Business Location
3510 NW 8TH ST
FORT LAUDERDALE FL, 33311-6416, US
Phone
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Georgia
License Number 70734
Remove 1114319902 NPI Number
 

According to our database, Dorilas Foundation Corporation NPI is 1114319902, taxonomy code is 208D00000X and license number is 70734, license state is located at Georgia. Dorilas Foundation Corporation physically located at 3510 Nw 8th St, Fort Lauderdale FL, 33311-6416. NPI Number 1033115704 has the healthcare provider type.

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1114319902 NPI number is provided on an as is basis without warranty of any kind. 1114319902 is maintained by the National Plan & Provider Enumeration System. The contents of Dorilas Foundation Corporation are for informational purposes only.