| John W. Doran, Lcsw Pa | |
|
1881 Ne 26th St Suite 212-g Wilton Manors FL 33305-1416 | |
| (954) 253-4060 | |
| (954) 568-2336 |
| Full Name | John W. Doran, Lcsw Pa |
|---|---|
| Speciality | Counselor |
| Location | 1881 Ne 26th St, Wilton Manors, Florida |
| Authorized Official Name and Position | John William Doran (OWNER) |
| Authorized Official Contact | 9542534060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John W. Doran, Lcsw Pa 1881 Ne 26th St Suite 212-g Wilton Manors FL 33305-1416 Ph: (954) 253-4060 | John W. Doran, Lcsw Pa 1881 Ne 26th St Suite 212-g Wilton Manors FL 33305-1416 Ph: (954) 253-4060 |
| NPI Number | 1184043549 |
|---|---|
| Provider Enumeration Date | 04/14/2014 |
| Last Update Date | 04/14/2014 |
| Medicare PECOS PAC ID | 2264656586 |
|---|---|
| Medicare Enrollment ID | O20140606000848 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184043549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | SW7576 (Florida) | Primary |
| Provider Name | John W Doran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164446357 PECOS PAC ID: 4688636996 Enrollment ID: I20041029000295 |
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