Individual
ADELINE DORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 PALM GROVE DR, MANVEL, TX 77578-1524
(321) 278-4290
Mailing address
65 PALM GROVE DR, MANVEL, TX 77578-1524
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9489343
FL
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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