Provider Demographics
NPI:1285980326
Name:RACE, DORIAN ELIZABETH (DC)
Entity type:Individual
Prefix:DR
First Name:DORIAN
Middle Name:ELIZABETH
Last Name:RACE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DORIAN
Other - Middle Name:ELIZABETH
Other - Last Name:CARON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 532023
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32853-2023
Mailing Address - Country:US
Mailing Address - Phone:407-616-5948
Mailing Address - Fax:
Practice Address - Street 1:499 E CENTRAL PKWY
Practice Address - Street 2:SUITE 215
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-3402
Practice Address - Country:US
Practice Address - Phone:407-332-1904
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-26
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9902111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor