Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Dor

Individual provider Family Medicine Physician · NPI 1215323043

Kelly Dor is a Family Practice in Plantation, Florida. Qualified in 2007, 19 years ago. Practices with Conviva Medical Center Management, LLC, a 562-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
19
Licensed in
FL
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

480 N State Road 7
Plantation, FL 33317-2834
Phone: (954) 791-9580
Fax: (888) 498-4463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1190 Ne 125th St, North Miami, FL 33161-5020 — (305) 891-7500

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME138840 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215323043
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 8, 2015
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Conviva Medical Center Management, Llc — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Plantation