NPI Registry.org

Caleb Dorval

NPI Registration Record

Provider / OrganizationNPIDate Certified
CALEB DORVAL17509085212020-06-28
Entity TypeIndividual
Provider Name Caleb Dorval
Practice Office Address3200 S HIAWASSEE RD
ORLANDO, FL US
Practice Office Telephone3219724039
Mailing Address12802 GROVEHURST AVE
WINTER GARDEN, FL 347876519 US
Business Telephone3219476372
HPT Codes
CodeLicense NoState
103K00000X PRIMARYRBT-20-122012 FL
OPI Codes

© 2020 NPIRegistry.org | Contact | Privacy Policy
45 CFR Part 162