Healthcare Provider Details

I. General information

NPI: 1831751163
Provider Name (Legal Business Name): DORCAS MATOWE PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2019
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 MARSH POINT RD STE 200
NEPTUNE BEACH FL
32266-1659
US

IV. Provider business mailing address

3850 S UNIVERSITY DR # 283052
DAVIE FL
33329-8573
US

V. Phone/Fax

Practice location:
  • Phone: 877-515-8113
  • Fax:
Mailing address:
  • Phone: 954-357-2829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT3670
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: