| Doctor Name: | DORA O CHIZEA |
| NPI Number: | 1780767509 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | ME92876 |
| Business Practice Address: | 2310 Tamiami Trl Unit 2101 Punta Gorda, FL - 339505934 |
| Business Phone Number: | 9416371076 |
| Business Fax Number: | 9416377226 |
| Mailing Address: | Po Box 511596, PUNTA GORDA |
| State: | FL |
| Postal Code: | 339511596 |
| Phone Number: | 9416376380 |
| Fax Number: | 9413478244 |
| NPI Enumeration Date: | 10/23/2006 |
| NPI Last Update Date: | 04/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | ME92876 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |