DOROTHEA N DOUGLAS M.D. NPI 1467638049

NPI Information

NPI: 1467638049
Provider Name: DOROTHEA N DOUGLAS, M.D.
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
13535 NEMOURS PKWY
ORLANDO, FL
ZIP 32827
Phone: (407) 567-4000
Get Directions

Dorothea N Douglas, M.D. is a pediatric hematology-oncology pediatrics in Orlando, FL. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Dorothea N Douglas, M.D. NPI is 1467638049. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13535 NEMOURS PKWY
ORLANDO, FL
ZIP 32827-402
Phone: (407) 567-4000
Fax: (407) 567-5924

The NPI 1467638049 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/14/2008 and was last updated on 7/26/2015.

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	390200000X	Student in an Organized Health Care Education/Training Program				No
2	208000000X	Pediatrics		38143	ARIZONA	No
3	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	38143	ARIZONA	No
4	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	ME123751	FLORIDA	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	122373	MEDICARE PIN	ARIZONA
2	345267	MEDICAID	ARIZONA

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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