Provider Demographics
NPI:1336506260
Name:DORIZAS, ANDREW SPIROS (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:SPIROS
Last Name:DORIZAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 BANYAN BLVD FL 2
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-4644
Mailing Address - Country:US
Mailing Address - Phone:305-243-6704
Mailing Address - Fax:
Practice Address - Street 1:185 BANYAN BLVD FL 2
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-4644
Practice Address - Country:US
Practice Address - Phone:305-243-6704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-22
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME144623207ND0101X, 207N00000X
FLME14623207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology