=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811172562
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PETER J DORAN DC PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/31/2007
-----------------------------------------------------
Last Update Date | 04/30/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7576 SPRING HILL DR
-----------------------------------------------------
City | SPRING HILL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34606-4349
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-683-5677
-----------------------------------------------------
Fax | 352-683-4944
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7576 SPRING HILL DR
-----------------------------------------------------
City | SPRING HILL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34606-4349
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 352-683-5677
-----------------------------------------------------
Fax | 352-683-4944
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIROPRACTOR
-----------------------------------------------------
Name | DR. PETER JAMES DORAN
-----------------------------------------------------
Credential | D.C.
-----------------------------------------------------
Telephone | 352-683-5677
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | CH 4900
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------