MEDICARE: DR. CHRISTINA TSONAS DORO PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PY8693	FL

General Provider Information

NPI Number	:	1093052821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINA TSONAS DORO PSY.D.

Provider Business Mailing Address
First Line	:	880 SW 21ST LN
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33486-6870
Country	:	US
Telephone Number	:	954-579-0591
Fax Number	:

Provider Business Practice Location Address
First Line	:	2425 E COMMERCIAL BLVD
Second Line	:	SUITE 301
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-4034
Country	:	US
Telephone Number	:	954-616-5287
Fax Number	:	954-616-5147

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2013
Last Update Date	:	08/23/2023

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