Michel Evans Dorval, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 9101758 Issued in FL

Practice address

1200 NE 125TH St
North Miami, FL 33161-5936

Phone

(305) 685-5688

Fax

(305) 891-5515

NPI assigned

Oct 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Dove Medical Centers LLC

  • General Practice Physician
  • Oakland Park,, FL
  • NPI 1366852766
  Medicare reassignment
• Sunshine Family Medical Center, LLC

  • General Practice Physician
  • Fort Lauderdale, FL
  • NPI 1306655840
  Medicare reassignment

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1891784179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NE 125TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615936",
            "telephone_number": "305-685-5688",
            "fax_number": "305-891-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NE 125TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615936",
            "telephone_number": "305-685-5688",
            "fax_number": "305-891-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORVAL",
        "first_name": "MICHEL",
        "middle_name": "EVANS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9101758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009220100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damali Dolcine, LPN
• Jennifer Domingue, PMHNP-BC
• Marie Taina D Dominique, OTR/L
• Sandra Dorneval
• Ronald J Dortonne, M.D.
• Dove Quality Care, LLC
• Gayle Marie Doyle
• Lauren Keegan Dozier, D.O.
• Dr Michael D Paula DPM LLC
• Dr Nicolas Gilberg OD PA

• Medical Physician Assistant in North Miami, FL
• Providers in North Miami, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.

Verify at the official NPI Registry.