Individual
ANDRE DORVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
11380 SW HILLCREST CIR, PORT ST LUCIE, FL 34987-2704
(772) 940-9219
Mailing address
1258 SW ERMINE AVE, PORT ST LUCIE, FL 34953-5006
(772) 207-7947
(772) 333-2814
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9279980
FL
3747P1801X
Personal Care Attendant
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012975500
—
FL
Enumeration date
01/28/2016
Last updated
01/28/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us