DORAL SPINE & WELLNESS INC NPI 1053959361

NPI Information

NPI: 1053959361
Provider Name: DORAL SPINE & WELLNESS INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
8726 NW 26TH ST STE 16
DORAL, FL
ZIP 33172
Phone: (305) 477-7976
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DORAL SPINE & WELLNESS INC is a general practice in Doral, FL. DORAL SPINE & WELLNESS INC NPI is 1053959361. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8726 NW 26TH ST STE 16
DORAL, FL
ZIP 33172-628
Phone: (305) 477-7976
Fax: (305) 629-9187

The provider's authorized official is Alejandro De La Fuente .
The authorized official title is Vice President and has the following contact phone number (305) 477-7976.

The enumeration date for this NPI number is 12/17/2019 and was last updated on 1/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	108352100	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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