Dorothea Wonderful Palace Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12679 Issued in FL

Legal business name

DOROTHEA WONDERFUL PALACE INC

Practice address

19210 NW 35TH Ave
Miami Gardens, FL 33056-2208

Phone

(863) 513-4843

NPI assigned

Jun 19, 2015

Organization subpart

No

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

Authorized official

Name

Dorothea Laughter

Title

Administrator

Phone

(863) 513-4843

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1487036000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19210 NW 35TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330562208",
            "telephone_number": "863-513-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19210 NW 35TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330562208",
            "telephone_number": "863-513-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOROTHEA WONDERFUL PALACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "LAUGHTER",
        "authorized_official_first_name": "DOROTHEA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "863-513-4843"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Raydel Dominguez Fernandez
• Israel Dominguez, RBT
• Lomarlin Dominguez
• Anita Lafleur Donatien
• Jimmy J Donoso Jr.
• Dorothy a Holmes Psychological Services, Inc
• Katia L Dorvilus, MSN , APRN PMHNP-BC
• Dr Amarella E Dalmazzo OD PA
• Dr Moses O Alade MD PA
• Raven Drayton

• Assisted Living Facility in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.