Dorival, Jimmy

Dorival, Jimmy is an sole proprietor health care provider with primary practice located at 672 Sw Prima Vista Blvd Ste 102 , Port St Lucie FL 34983-1820. He recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Dorival, Jimmy can be contacted via phone (772) 905-2560.

Contact Information

Primary practice address
672 Sw Prima Vista Blvd Ste 102 Port St Lucie FL 34983-1820
Phone: (772) 905-2560
Fax: (772) 336-8341
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 16-270 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11019774 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11019774 Florida

Profile Details

NPI number 1114372596
LBN Legal business name Dorival, Jimmy
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2016
Last updated Nov 17th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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