Provider Demographics
NPI:1437745734
Name:DOIRIN, DAVID LOUIS (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:LOUIS
Last Name:DOIRIN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 NE 116TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-6637
Mailing Address - Country:US
Mailing Address - Phone:305-303-6279
Mailing Address - Fax:
Practice Address - Street 1:2525 EMBASSY DR STE 5
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33026-4573
Practice Address - Country:US
Practice Address - Phone:786-661-7830
Practice Address - Fax:347-851-1807
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-21
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9113716363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant