Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | ME144623 | FL |
N | 207ND0101X | MOHS-Micrographic Surgeon | ME144623 | FL |
N | 207NS0135X | Procedural Dermatology | ME14623 | FL |
NPI | 1336506260 |
---|---|
Provider Name | Andrew Spiros Dorizas |
First Address | Miami, FL 33176-2416 |
Second Address | Miami, FL 33176-2416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2016 |
Last Update Date | 22/04/2021 |