Provider Demographics
NPI:1558794776
Name:DORON, TZVI Y (DO)
Entity Type:Individual
Prefix:DR
First Name:TZVI
Middle Name:Y
Last Name:DORON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4011 N MERIDIAN AVE
Mailing Address - Street 2:#14
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3334
Mailing Address - Country:US
Mailing Address - Phone:718-986-3014
Mailing Address - Fax:
Practice Address - Street 1:606 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-1202
Practice Address - Country:US
Practice Address - Phone:305-545-9292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS1229207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine