Healthcare Provider Details

I. General information

NPI: 1154382836
Provider Name (Legal Business Name): ALEXANDER T DOERFFLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 03/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E SAMPLE RD BROWARD HEALTH NORTH
POMPANO BEACH FL
33064-3502
US

IV. Provider business mailing address

1501 NW 49TH ST SUITE 140
FORT LAUDERDALE FL
33309-3723
US

V. Phone/Fax

Practice location:
  • Phone: 954-941-8300
  • Fax:
Mailing address:
  • Phone: 877-751-1157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number44956
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME 118082
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: