MEDICARE: DR. RONALD J DORTONNE M.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	207R00000X	Internal Medicine Physician	ME77120	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033141429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD J DORTONNE M.D.

Provider Business Mailing Address
First Line	:	13499 BISCAYNE BLVD
Second Line	:	M6-M7
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-2043
Country	:	US
Telephone Number	:	305-956-2728
Fax Number	:	305-940-6201

Provider Business Practice Location Address
First Line	:	13499 BISCAYNE BLVD
Second Line	:	M6-M7
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-2043
Country	:	US
Telephone Number	:	305-956-2728
Fax Number	:	305-940-6201

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

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	01/27/2022

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