Individual provider Active NPI

Hanceau Dorvil, MD

  • General Practice Physician
  • Miami Lakes, FL
National Provider Identifier
1407328693
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1655 Issued in FL
Practice address
5190 NW 167TH St Ste 109
Miami Lakes, FL 33014-6329
Phone
(305) 851-2860
Fax
(866) 539-7038
NPI assigned
Dec 28, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9295958 FL
General Practice Physician 208D00000X ACN1655 FL Primary

Addresses

Primary practice location

5190 NW 167TH St Ste 109
Miami Lakes, FL 33014-6329

Mailing address

8333 NW 53Rd St FL 6
Doral, FL 33166-4783

Other identifiers 1

IdentifierTypeStateIssuer
123803100MedicaidFL

Other names 1

  • Hanceau Dorvil Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hanceau.dorvil@chealth.eclinicaldirectplus.com Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240906003092 FL Practitioner - General Practice 2668912437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cano Health, LLCGroup PAC ID 1759565047, 141 clinicians

Practice addresses (Care Compare)

5190 NW 167TH St
Suite 109
Miami Lakes, FL 33014-6329
Phone (305) 384-6450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ACN1655FLMDGeneral Practice Physician
9295958FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Health Care, Inc CurrentSince Aug 29, 2024 Accepting new patients
Central Florida Health Care, Inc CurrentSince Aug 29, 2024 Accepting new patients
Central Florida Health Care, Inc. Current Accepting new patients
Cano Health, LLC General Practice CurrentSince Mar 1, 2025 Accepting new patients

Locations

950 County Road 17A W
Avon Park, FL 33825
Phone (863) 452-3000

1190 E Church St
Bartow, FL 33830
Phone (863) 533-1601

8333 NW 53rd St
Fl 6
Doral, FL 33166

109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891

305 W Central Ave
Fl Heal
Lake Wales, FL 33853

1129 N Missouri Ave
Lakeland, FL 33805
Phone (863) 413-8600

9725 NW 117th Ave
Ste 200
Medley, FL 33178
Phone 9545149360 ext. 8515

12600 SW 120th St
Ste 101
Miami, FL 33186
Phone (305) 506-1930

5190 NW 167th St
Ste 109
Miami Lakes, FL 33014
Phone (305) 384-6450

106 NW 9th Ave
Mulberry, FL 33860
Phone (863) 425-6200

680 N University Dr
Pembroke Pines, FL 33024
Phone (954) 538-6868

47 5th St NW
Winter Haven, FL 33881

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1407328693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 NW 53RD ST FL 6",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 NW 167TH ST STE 109",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146329",
            "telephone_number": "305-851-2860",
            "fax_number": "866-539-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORVIL",
        "first_name": "HANCEAU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-28",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9295958",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123803100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hanceau.dorvil@chealth.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5190 NW 167th St Ste 109",
            "city": "Miami Lakes",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330146329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HANCEAU",
            "last_name": "DORVIL",
            "credential": "DR HANCEAU DORVIL MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.