Healthcare Provider Details

I. General information

NPI: 1275717191
Provider Name (Legal Business Name): FRANK E DORN PA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2007
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 N ORANGE AVE
ORLANDO FL
32804-5528
US

IV. Provider business mailing address

1910 N ORANGE AVE
ORLANDO FL
32804-5559
US

V. Phone/Fax

Practice location:
  • Phone: 407-898-1451
  • Fax:
Mailing address:
  • Phone: 407-898-1451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1070431
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9117637
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: