Individual
DORVANGIE MIRDELLE TITUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY STUDENT
Contact information
Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-4550
Mailing address
291 SW 192ND TER, PEMBROKE PINES, FL 33029-5455
(786) 370-2129
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PSI47359
FL
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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