Provider Demographics
NPI:1932346079
Name:DOCTORSNOW DORAL LLC
Entity Type:Organization
Organization Name:DOCTORSNOW DORAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:BUCKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-270-1000
Mailing Address - Street 1:3650 NW 82ND AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6658
Mailing Address - Country:US
Mailing Address - Phone:515-270-1000
Mailing Address - Fax:
Practice Address - Street 1:5731 GREENDALE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-1593
Practice Address - Country:US
Practice Address - Phone:515-270-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DOCTORSNOW WALK IN CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-12
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN193208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty