Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | ME 64436 | FL |
NPI | 1235201161 |
---|---|
Provider Name | Dr. Sara J Dorison |
First Address | Miami, FL 33176-2319 |
Second Address | Miami, FL 33176-2319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 08/07/2007 |