Dora A Gaxiola, MD is a
General Practice physician based in Florida City, Florida. Dora A Gaxiola is licensed to practice in Florida (license number ACN380) and her current practice location is Florida Department Of Corrections, Dade C I, 19000 Se 377th St, Florida City, Florida. She can be reached at her office (for appointments etc.) via phone at
(786) 349-2364.
NPI number for Dora A Gaxiola is 1770715047 and her current mailing address is 10527 Nw 8th St, Pembroke Pines, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770715047.
Physician's Profile
| Full Name | Dora A Gaxiola |
|---|
| Gender | Female |
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| Speciality | General Practice |
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| Location | Florida Department Of Corrections, Dade C I, Florida City, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1770715047
- Provider Enumeration Date: 08/20/2009
- Last Update Date: 06/05/2022
Medical Identifiers
Medical identifiers for Dora A Gaxiola such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770715047 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 17667 (Puerto Rico) | Secondary |
| 261QP2400X | Clinic/center - Prison Health | ACN380 (Florida) | Secondary |
| 208D00000X | General Practice | ACN380 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dora A Gaxiola is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dora A Gaxiola, MD
10527 Nw 8th St,
Pembroke Pines, FL 33026
Ph: (305) 562-8809 | Dora A Gaxiola, MD
Florida Department Of Corrections, Dade C I, 19000 Se 377th St,
Florida City, FL 33034
Ph: (786) 349-2364 |
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