Provider Demographics
NPI:1861783607
Name:DOSHI, DAVID (MS)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:DOSHI
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4416 NW 41ST PL
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-4705
Mailing Address - Country:US
Mailing Address - Phone:954-295-5466
Mailing Address - Fax:
Practice Address - Street 1:4416 NW 41ST PL
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4705
Practice Address - Country:US
Practice Address - Phone:954-295-5466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-00-0255103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst