Fanuel Dorilas
General Practice Physician Internist - Addiction Medicine
1229 Nw 40th Ave
Lauderhill
, Florida 33313-5801
Fanuel Dorilas
General Practice Physician Internist - Addiction Medicine
1229 Nw 40th Ave
Lauderhill
, Florida 33313-5801
(954) 478-2041
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About
Features
Specialties
- Internist - Addiction Medicine
- General Practice Physician
Languages spoken
- English
Location
First Address
- Fanuel Dorilas
- 312 Bontona Ave
- Fort Lauderdale, FL
- Zip : 33301-2418
- Phone : (954) 478-2041
Second Address
- Fanuel Dorilas
- 1229 Nw 40th Ave
- Lauderhill, FL
- Zip : 33313-5801
- Phone : (954) 583-4710
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RA0401X | Internist - Addiction Medicine | ACN527 | FL |
| N | 208D00000X | General Practice Physician | 70734 | GA |
| Y | 208D00000X | General Practice Physician | ACN527 | FL |
National Provider Identifier
| NPI | 1861717514 |
|---|---|
| Provider Name | Fanuel Dorilas |
| First Address | Fort Lauderdale, FL 33301-2418 |
| Second Address | Lauderhill, FL 33313-5801 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/04/2010 |
| Last Update Date | 10/09/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.