Individual
HEIDY DORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2140 W 68TH ST STE 300, HIALEAH, FL 33016-1815
(305) 822-4107
(305) 822-5086
Mailing address
19231 NW 39TH CT, MIAMI GARDENS, FL 33055-2216
(305) 822-4107
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11016162
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113696900
—
FL
Enumeration date
12/11/2021
Last updated
03/25/2022
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