MEDICARE: HANCEAU DORVIL MD

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	363L00000X	Nurse Practitioner	9295958	FL
2	208D00000X	General Practice Physician	ACN1655	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407328693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANCEAU DORVIL MD

Provider Business Mailing Address
First Line	:	8333 NW 53RD ST FL 6
Second Line	:
City	:	DORAL
State	:	FL
Zip	:	33166-4783
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5190 NW 167TH ST STE 109
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-6329
Country	:	US
Telephone Number	:	305-851-2860
Fax Number	:	866-539-7038

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

Provider Enumeration Date	:	12/28/2018
Last Update Date	:	06/03/2026

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1346360369 — DR. ORLANDO ALFONSO M.D.
Practice Location Address:

5190 NW 167TH ST STE 109
MIAMI LAKES, FL
33014-6329

Practice Phone: 305-851-2860
Practice Fax: 786-796-0930

1316190358 — DR. ANGEL A. DE ARMENDI
Practice Location Address:

5190 NW 167TH ST STE 109
MIAMI LAKES, FL
33014-6329

Practice Phone: 855-226-6633
Practice Fax: 844-224-2818

1942694070 — PALMETTO LAKES WELLNESS CENTER INC
Practice Location Address:

5190 NW 167TH ST STE 102
MIAMI LAKES, FL
33014-6329

Practice Phone: 786-955-6598
Practice Fax: 786-955-6857

1134656671 — GIOVANNI NAVIA OTR/L
Practice Location Address:

5190 NW 167TH ST STE 117
MIAMI LAKES, FL
33014-6329

Practice Phone: 305-517-3047
Practice Fax: 305-517-3523

1689101933 — DR. STEPHEN HUGO PEREZ DO
Practice Location Address:

5190 NW 167TH ST STE 109
MIAMI LAKES, FL
33014-6329

Practice Phone: 954-983-9191
Practice Fax:

Directions to “ HANCEAU DORVIL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.