Individual
MRS. BRENDA LEE DOZACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
1900 NEBRASKA AVE, FORT PIERCE, FL 34950-4837
(772) 466-7200
(772) 466-9513
Mailing address
1900 NEBRASKA AVE, FORT PIERCE, FL 34950-4837
(772) 466-7200
(772) 466-9513
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN3298352
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XXXXXX
NEW APPLICANT
—
Enumeration date
12/15/2014
Last updated
10/21/2015
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