Individual
REGINE DORVIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
671 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34984-5141
(772) 353-5716
(844) 367-0091
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
81821
GA
208D00000X
General Practice Physician
Primary
ACN1185
FL
Other
Enumeration date
04/07/2016
Last updated
09/14/2022
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