Provider Demographics
NPI:1902200074
Name:DORADO PROTHERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:DORADO PROTHERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:DORADO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L, SLP-A
Authorized Official - Phone:305-244-1531
Mailing Address - Street 1:15986 SW 109TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-3104
Mailing Address - Country:US
Mailing Address - Phone:305-244-1531
Mailing Address - Fax:
Practice Address - Street 1:15986 SW 109TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-3104
Practice Address - Country:US
Practice Address - Phone:305-244-1531
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT16644225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty