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Individual

DR. LAURENCE I DORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
9570 SW 107TH AVE, SUITE 103, MIAMI, FL 33176-2788
(305) 271-1564
(305) 271-5079
Mailing address
8200 NW 27 ST, STE 108, DORAL, FL 33122-1906
(786) 662-3893
(786) 660-3899

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1226
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029629500
FL
Enumeration date
02/14/2006
Last updated
10/22/2014
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