Individual
STACY MAREE DORADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4308 ALTON RD STE 610, MIAMI BEACH, FL 33140-4559
(305) 423-3939
Mailing address
4308 ALTON RD STE 610, MIAMI BEACH, FL 33140-4559
(305) 423-3939
(305) 674-8836
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
13896238-1206
UT
363AS0400X
Surgical Physician Assistant
Primary
PA9111072
FL
Other
Enumeration date
03/01/2018
Last updated
05/28/2025
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