Gaxiola, Dora A

Gaxiola, Dora A is an sole proprietor health care provider with primary practice located at Florida Department Of Corrections, Dade C I 19000 Se 377Th St, Florida City FL 33034. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Prison Health. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Gaxiola, Dora A can be contacted via phone (786) 349-2364.

Contact Information

Primary practice address
Florida Department Of Corrections, Dade C I 19000 Se 377Th St Florida City FL 33034
Phone: (786) 349-2364
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 17667 Puerto Rico
Ambulatory Health Care Facilities / Prison Health 261QP2400X ACN380 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN380 Florida

Profile Details

NPI number 1770715047
LBN Legal business name Gaxiola, Dora A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2009
Last updated Jun 5th, 2022 - about 4 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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