Individual
ANDRES MANUEL DORADO NICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
974 OLD DIXIE HWY STE A, HOMESTEAD, FL 33030-4933
(305) 845-1655
(305) 845-1641
Mailing address
6340 SW 149TH CT, MIAMI, FL 33193-2796
(786) 412-5731
(305) 274-5320
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-24-392034
FL
363AM0700X
Medical Physician Assistant
2305
PR
363AM0700X
Medical Physician Assistant
Primary
PACN72
FL
Other
Enumeration date
10/02/2024
Last updated
08/01/2025
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