Fanuel Dorilas, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN527 Issued in FL

Practice address

7800 West Oakland Park Blvd Suite B-105
Family Wellness and Aesthetic Center LLC
Sunrise, FL 33351

Phone

(954) 890-3902

Fax

(954) 999-0230

NPI assigned

Apr 6, 2010

Reactivated

Mar 6, 2025

Last updated

Mar 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Dorilas Foundation Corporation

  • General Practice Physician
  • Fort Lauderdale, FL
  • NPI 1114319902
  Authorized official Same address or phone
• Family Wellness and Aesthetic Center LLC

  • General Practice Physician
  • Sunrise, FL
  • NPI 1437798139
  Authorized official Same address or phone
• CRC Health Treatment Clinics, LLC

  dba Shelbyville Comprehensive Treatment Center

  • Methadone Clinic
  • Shelbyville, KY
  • NPI 1235675125
  NPD (past)

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1861717514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 BONTONA AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012418",
            "telephone_number": "954-478-2041",
            "fax_number": "954-999-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 WEST OAKLAND PARK BLVD SUITE B-105",
            "address_2": "FAMILY WELLNESS AND AESTHETIC CENTER LLC",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33351",
            "telephone_number": "954-890-3902",
            "fax_number": "954-999-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORILAS",
        "first_name": "FANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-06",
        "last_updated": "2025-03-10",
        "deactivation_date": "2025-02-18",
        "reactivation_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ACN527",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "70734",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Ann Dominguez, BS SLPA
• Deanna Elise Donaldson
• Donnalia Deliazar
• Cassandre Dorcely-Forges, CRNA
• Michael Dorfman, M.D.
• Dionne Dougas, PHARM.D.
• Araceli E Doughty, M.D.
• Monica Daniela Dousdebes Garcia
• Guialix Douyon
• Doviniti-J15 12 Inc (Homewatch CareGivers of Southwest Broward)

• General Practice Physician in Sunrise, FL
• Providers in Sunrise, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; 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.