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Daniel Jacob Dolderer

Pathology

Allopathic & Osteopathic Physicians

1210 S Old Dixie Hwy, Jupiter, FL 33458-7205

PECOS Enrollment

This provider is enrolled in PECOS as DANIEL DOLDERER.

Based on the most recent information from CMS, provider Daniel Jacob Dolderer is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1053654145
Provider Type
Individual
Full Name
Dolderer, Daniel Jacob
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
3/27/2013
Last Updated
5/7/2019

Contact Information

Practice Location

1210 S Old Dixie Hwy, Jupiter, FL 33458-7205

(561) 744-4487

Unlisted Fax

Mailing Location

2801 Exchange Ct, West Palm Beach, FL 33409-4019

(561) 684-9566

(561) 687-3528

Provider Taxonomies

Code	Description	License
Code 207ZP0102X Primary	Description Pathology Allopathic & Osteopathic Physicians	License ME140583 Florida

Daniel Jacob Dolderer

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Ross, Julia Anne

Davaro, Elizabeth

Treasure Coast Pathology, Pa

Treasure Coast Pathology, Pa

Algashaamy, Khaled

Betancourt, Michel

Jupiter Pathology Consultants Pl

Palm Beach Pathology, Pa

Dianexus Medical Laboratories Llc