Provider Demographics
NPI:1922532084
Name:L DORE, M.D., P.L
Entity Type:Organization
Organization Name:L DORE, M.D., P.L
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUCRECIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DORE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-322-3232
Mailing Address - Street 1:16057 TAMPA PALMS BLVD W
Mailing Address - Street 2:PMB 408
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2001
Mailing Address - Country:US
Mailing Address - Phone:813-322-3232
Mailing Address - Fax:
Practice Address - Street 1:5383 PRIMROSE LAKE CIR
Practice Address - Street 2:SUITE B
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-3520
Practice Address - Country:US
Practice Address - Phone:813-322-3232
Practice Address - Fax:813-322-3226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-16
Last Update Date:2017-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1002422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty