Provider Demographics
NPI:1083933931
Name:DOANE, DOROTHY DENISE (MSN, C-FNP)
Entity Type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:DENISE
Last Name:DOANE
Suffix:
Gender:F
Credentials:MSN, C-FNP
Other - Prefix:MS
Other - First Name:DOROTHY
Other - Middle Name:DENISE
Other - Last Name:COUSINS DOANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, C-FNP
Mailing Address - Street 1:3706 N ROOSEVELT BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4566
Mailing Address - Country:US
Mailing Address - Phone:305-747-8544
Mailing Address - Fax:
Practice Address - Street 1:3706 N ROOSEVELT BLVD
Practice Address - Street 2:SUITE G
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4566
Practice Address - Country:US
Practice Address - Phone:305-517-6613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-18
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9175101163W00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Yes163W00000XNursing Service ProvidersRegistered Nurse