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NPI Code Detail

MEDICARE: DR. MICHAEL DORFMAN M.D.

MEDICARE:  DR. MICHAEL  DORFMAN  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
1207Q00000XFamily Medicine PhysicianME0033795FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00751263OTHERFLRAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1619932365
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL DORFMAN M.D.
Provider Business Mailing Address
First Line : 8395 W OAKLAND PARK BLVD
Second Line : SUITE E
City : SUNRISE
State : FL
Zip : 33351-7301
Country : US
Telephone Number : 954-741-7500
Fax Number : 954-741-7003
Provider Business Practice Location Address
First Line : 8395 W OAKLAND PARK BLVD
Second Line : SUITE E
City : SUNRISE
State : FL
Zip : 33351-7301
Country : US
Telephone Number : 954-741-7500
Fax Number : 954-741-7003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 11/13/2009

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Directions to “ DR. MICHAEL DORFMAN M.D.” Practice Location

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