Individual
DORIS MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1807 BARCELONA AVE, FORT PIERCE, FL 34946-1321
(772) 293-0591
Mailing address
1807 BARCELONA AVE, FORT PIERCE, FL 34946-1321
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 5146737
FL
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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