Active NPI
Sara J Dorison, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Miami, FL
National Provider Identifier
1235201161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- ME 64436
- Practice address
- 9150 SW 87TH Ave
#108A
Miami, FL 33176-2319 - Phone
- (305) 271-0261
- Fax
- (305) 271-6684
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | ME 64436 | FL | Primary |
Addresses
Primary practice location
9150 SW 87TH Ave
#108A
Miami, FL 33176-2319
Mailing address
9150 SW 87TH Ave
#108A
Miami, FL 33176-2319
Phone (305) 271-0261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 64436 | FL | MD | Neurology with Special Qualifications in Child Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235201161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9150 SW 87TH AVE",
"address_2": "#108A",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762319",
"telephone_number": "305-271-0261",
"fax_number": "305-271-6684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150 SW 87TH AVE",
"address_2": "#108A",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762319",
"telephone_number": "305-271-0261",
"fax_number": "305-271-6684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORISON",
"first_name": "SARA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "FL",
"license": "ME 64436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.