FANUEL DORILAS (NPI# 1861717514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861717514 |
| Entity Type | Individual |
| Full Name | FANUEL DORILAS |
| Credential | MD |
| Practice Address |
1229 Nw 40th Ave Lauderhill FL 33313-5801 |
| Mailing Address |
312 Bontona Ave Fort Lauderdale FL 33301-2418 |
| Practice Telephone | 9545834710 |
| Mailing Telephone | 9544782041 |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2018-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
ACN527 | FL | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | ACN527 | FL | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 70734 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1229 NW 40TH AVE |
| City | LAUDERHILL |
| State | FL |
| Zip Code | 33313-5801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467954446 | Jenna Meryl Appel | Dietitian, Registered | 1229 Nw 40th Ave, Lauderhill, FL 33313-5801 | 2018-03-06 |
| 1326559691 | Tiffany Maxton | Nurse Practitioner | 1229 Nw 40th Ave, Lauderhill, FL 33313 | 2017-10-13 |
| 1013345149 | Broward Community and Family Health Centers Inc | Clinic/Center | 1229 Nw 40th Ave, #47, Lauderhill, FL 33313-5801 | 2013-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469234 | Deidra D Mcclover | Doula | 4430 Nw 13th Court, Lauderhill, FL 33313 | 2020-05-27 |
| 1043831738 | Mh Cares, LLC | Social Worker | 1165 Nw 45terr., Lauderhill, FL 33313 | 2020-05-04 |
| 1629537139 | International Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6921 Sunset Strip, Sunrise, FL 33313 | 2019-03-14 |
| 1598232225 | South Shore Opticians Lauderhill Inc. | Technician/Technologist | 1375 I North State Road 7, Lauderhill, FL 33313 | 2018-10-31 |
| 1437630399 | Guy Desanctis | Physical Therapy Assistant | 6530 W. Sunrise Blvd, Plantation, FL 33313 | 2018-08-28 |
| 1710467360 | Radiant Private Care, LLC | In Home Supportive Care | 1480 Nw 52nd Ave, Lauderhill, FL 33313 | 2018-08-14 |
| 1851877435 | Jb and Jb Healthcare LLC | Obstetrics & Gynecology | 3001 Nw 49th Ave Ste 300, Lauderdale Lakes, FL 33313 | 2018-07-17 |
| 1447746441 | Walfrido Roque Pinero | Nurse Practitioner | 6738 W Sunrise Blvd Ste 102, Plantation, FL 33313 | 2018-07-03 |
| 1215421813 | Erika Jorgensen | Counselor | 6299 W Sunrise Blvd # 108, Sunrise, FL 33313 | 2018-06-18 |
| 1750884003 | Mgb Behavioral Health Services | Case Management | 4780 N W 24 Court, C215, Lauderhill, FL 33313 | 2018-03-13 |
| Find all providers in zip 33313 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396096640 | Loving Care Primary Medical Services Inc | General Practice | 7445 Nw 57th St, Lauderhill, FL 33319-2101 | 2012-09-26 |
| 1437205796 | Mohammad Tayyab Sheikh | General Practice | 1168 N State Road 7, Lauderhill, FL 33313-6630 | 2007-01-26 |
| 1720392707 | Lucille Frial-carrasco Dopa | General Practice | 7200 W Commercial Blvd, Suite 201, Lauderhill, FL 33319-2148 | 2010-08-02 |
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| 1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
| 1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | LAUDERHILL |
| Zip Code | 33313 |
Please comment or provide details below to improve the information on FANUEL DORILAS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.