Active NPI
Charles Edward Dorfman, MD
- Urology Physician
- Apopka, FL
National Provider Identifier
1144438748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME0057240
- Practice address
- 405 S Park Ave
Apopka, FL 32703-5261 - Phone
- (407) 884-7774
- Fax
- (407) 884-9770
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME0057240 | FL | Primary |
Addresses
Primary practice location
405 S Park Ave
Apopka, FL 32703-5261
Mailing address
974 Innswood CT
Longwood, FL 32779-2807
Phone (407) 427-0855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100219000484 | FL | Practitioner - Urology | 6507900164 | Practice locations: Altamonte Springs, FL; Apopka, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0057240 | FL | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1144438748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "974 INNSWOOD CT",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327792807",
"telephone_number": "407-427-0855",
"fax_number": "855-908-2515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 S PARK AVE",
"city": "APOPKA",
"state": "FL",
"postal_code": "327035261",
"telephone_number": "407-884-7774",
"fax_number": "407-884-9770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORFMAN",
"first_name": "CHARLES",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME0057240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.