Dorman, Laurence I

Dorman, Laurence I is an individual health care provider with primary practice located at 9570 Sw 107Th Ave Suite 103, Miami FL 33176-2788. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Dorman, Laurence I can be contacted via phone (305) 271-1564.

Contact Information

Primary practice address
9570 Sw 107Th Ave Suite 103 Miami FL 33176-2788
Phone: (305) 271-1564
Fax: (305) 271-5079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO1226 Florida

Profile Details

NPI number 1730153016
LBN Legal business name Dorman, Laurence I
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Oct 22nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730153016 NPPES
Florida MEDICAID 029629500

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