Individual
JACQUELINE TAYLOR DORSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4790 BARKLEY CIR STE A, FORT MYERS, FL 33907-7593
(239) 275-8882
Mailing address
3340 ANTICA ST, FORT MYERS, FL 33905-1500
(804) 241-2574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAT9117817
FL
Other
Enumeration date
09/11/2023
Last updated
09/13/2023
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