Individual
FANUEL DORILAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7800 WEST OAKLAND PARK BLVD SUITE B-105, FAMILY WELLNESS AND AESTHETIC CENTER LLC, SUNRISE, FL 33351
(954) 890-3902
(954) 999-0230
Mailing address
312 BONTONA AVE, FORT LAUDERDALE, FL 33301-2418
(954) 478-2041
(954) 999-0230
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
ACN527
FL
208D00000X
General Practice Physician
70734
GA
208D00000X
General Practice Physician
Primary
ACN527
FL
Other
Enumeration date
04/06/2010
Last updated
03/10/2025
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