MEDICARE: ALEXANDRA L DOR DC

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	111N00000X	Chiropractor	CH15033	FL

General Provider Information

NPI Number	:	1427899194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA L DOR DC

Provider Business Mailing Address
First Line	:	9044 NW 28TH DR APT 3106
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-5747
Country	:	US
Telephone Number	:	954-864-4385
Fax Number	:

Provider Business Practice Location Address
First Line	:	9044 NW 28TH DR APT 3106
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-5747
Country	:	US
Telephone Number	:	954-864-4385
Fax Number	:

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

Provider Enumeration Date	:	06/05/2024
Last Update Date	:	06/11/2024

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