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Individual

DOROTHY DESIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGNP-BC

Contact information

Practice address
9551 ENCINO ST, MIRAMAR, FL 33025-4254
(954) 665-5635
Mailing address
9551 ENCINO ST, MIRAMAR, FL 33025-4254
(954) 665-5635

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11010154
FL
363L00000X
Nurse Practitioner
RN9235827
FL
363LA2200X
Adult Health Nurse Practitioner
APRN11010154
FL
363LA2200X
Adult Health Nurse Practitioner
RN9235827
FL
363LG0600X
Gerontology Nurse Practitioner
APRN11010154
FL
363LP2300X
Primary Care Nurse Practitioner
APRN11010154
FL

Other

Enumeration date
11/20/2020
Last updated
11/20/2020
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