Individual provider · NPI-1

Daniel E. Dosoretz, MD

· Port Charlotte, FL

NPI number1629073200
StatusActive
Last updated in NPPESJul 27, 2022

Details

NPI
1629073200
Entity type
Individual (NPI-1)
Name
Daniel E. Dosoretz
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 20, 2005
Certification date
Jul 27, 2022
Last updated
Jul 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0001X ME0038701FLYes

Practice location

3080 Harbor Blvd
Port Charlotte, FL 33952

Phone 941-883-2199 · Fax 941-979-5041

Mailing address

3080 Harbor Blvd
Port Charlotte, FL 33952-6720

Phone 941-883-2199 · Fax 941-979-5041

Other practice locations

15681 New Hampshire Ct
Fort Myers, FL 33908-4123

Phone 239-437-1977 · Fax 239-437-1889

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