Individual
MARK S DORFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 S PARK RD STE 300, HOLLYWOOD, FL 33021-8353
(954) 925-2740
(954) 923-8379
Mailing address
300 S PARK RD STE 300, HOLLYWOOD, FL 33021-8353
(954) 925-2740
(954) 923-8379
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0065865
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
375515100
—
FL
Enumeration date
09/30/2005
Last updated
06/01/2020
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