Individual provider · Type 1 NPI
Fanuel Dorilas, MD
General Practice Physician · Sunrise, FL
NPI number
1861717514
Active · reactivated Mar 6, 2025
Practice location
7800 West Oakland Park Blvd Suite B-105, Family Wellness And Aesthetic Center Llc
Sunrise, FL 33351
Fax (954) 999-0230
Mailing address
312 Bontona Ave
Fort Lauderdale, FL 33301-2418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | ACN527 (FL) |
| General Practice Physician | 208D00000X | 70734 (GA) |
| General Practice Physician Primary | 208D00000X | ACN527 (FL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1861717514
Fanuel Dorilas, MD's National Provider Identifier is 1861717514, issued on Apr 6, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Sunrise, FL. The record was last updated on Mar 10, 2025.