Provider Demographics
NPI:1962034892
Name:DOBANO AMADOR, OSCAR ANTONIO I (APRN)
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:ANTONIO
Last Name:DOBANO AMADOR
Suffix:I
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5521 SW 1ST ST
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1013
Mailing Address - Country:US
Mailing Address - Phone:786-337-1491
Mailing Address - Fax:
Practice Address - Street 1:5521 SW 1ST ST
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-1013
Practice Address - Country:US
Practice Address - Phone:786-337-1491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-08
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11006092101YM0800X, 363LF0000X
FL11006092363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily