Individual
JOHN DOUGLAS DORTCH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1401 CENTERVILLE RD STE 100, TALLAHASSEE, FL 32308-4638
(850) 431-2100
Mailing address
PO BOX 748967, ATLANTA, GA 30374-8967
(850) 431-7289
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
078019
GA
208600000X
Surgery Physician
117612
FL
208600000X
Surgery Physician
Primary
ME117612
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN17193
FL
Other
Enumeration date
04/18/2012
Last updated
02/05/2026
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