Individual
DORRETT C BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
351 S BAY AVE, SANFORD, FL 32771-2140
(407) 321-3154
Mailing address
434 MOFFAT LOOP, OVIEDO, FL 32765-6264
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
101YMO800X
FL
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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