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NPI Code Detail

MEDICARE: DAVID W DORTON DO

MEDICARE: DAVID W DORTON DO
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
1207N00000XDermatology Physician056384FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073502209
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID W DORTON DO
Provider Business Mailing Address
First Line : 8220 US HIGHWAY 19
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-6639
Country : US
Telephone Number : 727-848-3761
Fax Number : 727-849-0391
Provider Business Practice Location Address
First Line : 8220 US HIGHWAY 19
Second Line :
City : PORT RICHEY
State : FL
Zip : 34668-6639
Country : US
Telephone Number : 727-848-3761
Fax Number : 727-849-0931
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 01/26/2010

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Directions to “ DAVID W DORTON DO” Practice Location

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