L Dore, M.D., P.L
Organization Active NPI Psychiatry Physician · Tampa, FL
NPI 1922532084 · NPPES record last updated Apr 16, 2017
Key facts
- NPI
- 1922532084
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- ME100242 (FL)
- Legal business name
- L DORE, M.D., P.L
- Practice address
- 5383 Primrose Lake Cir
Suite B
Tampa, FL 33647-3520 - Phone
- (813) 322-3232
- Fax
- (813) 322-3226
- NPI assigned
- Apr 16, 2017
- Organization subpart
- No
Authorized official
- Name
- Lucrecia Dore, M.D.
- Title
- Owner
- Phone
- (813) 322-3232
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | ME100242 | FL | Yes |
Addresses
Primary practice location
5383 Primrose Lake Cir
Suite B
Tampa, FL 33647-3520
Mailing address
16057 Tampa Palms Blvd W
PMB 408
Tampa, FL 33647-2001
Phone (813) 322-3232
NPI Registry JSON
{
"created_epoch": "1492300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492300800000",
"number": "1922532084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16057 TAMPA PALMS BLVD W",
"address_2": "PMB 408",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472001",
"telephone_number": "813-322-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5383 PRIMROSE LAKE CIR",
"address_2": "SUITE B",
"city": "TAMPA",
"state": "FL",
"postal_code": "336473520",
"telephone_number": "813-322-3232",
"fax_number": "813-322-3226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "L DORE, M.D., P.L",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-16",
"last_updated": "2017-04-16",
"status": "A",
"authorized_official_last_name": "DORE",
"authorized_official_first_name": "LUCRECIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-322-3232",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME100242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.