Dorval, Andre

Dorval, Andre is an individual health care provider with primary practice located at 11380 Sw Hillcrest Cir , Port St Lucie FL 34987-2704. He recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Personal Care Attendant, Nursing Service Providers / Registered Nurse, Nursing Service Related Providers / Nurse's Aide. Nursing Service Providers / Registered Nurse is his primary health care specialty. Dorval, Andre can be contacted via phone (772) 940-9219.

Contact Information

Primary practice address
11380 Sw Hillcrest Cir Port St Lucie FL 34987-2704
Phone: (772) 940-9219
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Nursing Service Providers / Registered Nurse 163W00000X 9279980 Florida
Nursing Service Related Providers / Nurse's Aide 376K00000X

Profile Details

NPI number 1144688680
LBN Legal business name Dorval, Andre
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2016
Last updated Jan 28th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144688680 NPPES
Florida MEDICAID 012975500

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