Individual
JERONE JOSIUS DORCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5641 STRAWBERRY LAKES CIR, LAKE WORTH, FL 33463-6516
(561) 876-9407
Mailing address
5641 STRAWBERRY LAKES CIR, LAKE WORTH, FL 33463-6516
(561) 876-9407
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N22000009722
—
FL
Enumeration date
01/13/2023
Last updated
01/13/2023
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