Individual
MRS. DORETHA ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7912 FOREST CITY RD, ORLANDO, FL 32810-2907
(407) 988-1075
Mailing address
1940 LAKE ROBERTS LANDING DR, WINTER GARDEN, FL 34787-5579
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN 1425012
FL
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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