Provider Demographics
NPI:1821488420
Name:DORVIL, FRIDA (MD)
Entity Type:Individual
Prefix:DR
First Name:FRIDA
Middle Name:
Last Name:DORVIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 FOXTAIL DR APT H
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33415-6195
Mailing Address - Country:US
Mailing Address - Phone:561-568-4941
Mailing Address - Fax:
Practice Address - Street 1:236 FOXTAIL DR APT H
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33415-6195
Practice Address - Country:US
Practice Address - Phone:561-568-4941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-03
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program