Individual
AMY MELINA DOSORETZ FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3080 HARBOR BLVD, PORT CHARLOTTE, FL 33952
(941) 883-2199
(941) 979-5041
Mailing address
3080 HARBOR BLVD, PORT CHARLOTTE, FL 33952-6720
(941) 883-2199
(941) 979-5041
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME105636
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001487200
—
FL
01
—
146MG
BCBS FL
FL
Enumeration date
03/14/2006
Last updated
09/16/2019
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