Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0201X | Pediatric Allergist | ME89273 | FL |
Y | 2080P0216X | Pediatric Rheumatologist | ME89273 | FL |
NPI | 1932125408 |
---|---|
Provider Name | Dr. Brandon J. Dorion |
First Address | Rockland, DE 19732-0191 |
Second Address | Pensacola, FL 32504-8785 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 14/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00113769 | (05) | MS |
009947845 | (05) | AL |
269934600 | (05) | FL |
F85139 | (02) |