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)CodeLicenseStatePrimary
Psychiatry Physician
Group: 193400000X SINGLE SPECIALTY GROUP
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 16, 2017.

{
    "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

Verify at the official NPI Registry.