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Amanda Davis Dorn, DO

Student in an Organized Health Care Education/Training Program in Orlando, FL. Individual provider (NPI-1).

NPI number1982164810
StatusActive
Last updated in NPPESMay 25, 2023

Details

NPI
1982164810
Entity type
Individual (NPI-1)
Name
Amanda Davis Dorn
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Mar 25, 2019
Certification date
May 25, 2023
Last updated
May 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training ProgramUO8854FLYes
207Q00000X Family MedicineDOS-2293HI
390200000X Student in an Organized Health Care Education/Training Program–SC

Practice location

235 E Princeton St Ste 200
Orlando, FL 32804-5555

Phone 407-303-1444

Mailing address

1010 Pensacola St
Honolulu, HI 96814-2118

Phone 808-432-2000

Other practice locations

2000 E Greenville St Ste 3700
Anderson, SC 29621-1725

Phone 864-512-1115

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