Provider Demographics
NPI:1134585524
Name:DOKITA247 PA COM INC
Entity type:Organization
Organization Name:DOKITA247 PA COM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARDS
Authorized Official - Middle Name:A
Authorized Official - Last Name:AFONJA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:844-365-4822
Mailing Address - Street 1:540 E MCNAB RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-9354
Mailing Address - Country:US
Mailing Address - Phone:844-365-4822
Mailing Address - Fax:844-365-4822
Practice Address - Street 1:540 E MCNAB RD
Practice Address - Street 2:SUITE C
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-9354
Practice Address - Country:US
Practice Address - Phone:844-365-4822
Practice Address - Fax:844-365-4822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-14
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06112700207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty