Individual
WADVENS DORELUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D4G9H6Y6
Contact information
Practice address
421 W 30TH ST, MOBILIZE, RIVIERA BEACH, FL 33404
(561) 568-6646
Mailing address
421 W 30TH ST, MOBILIZE, RIVIERA BEACH, FL 33404
(561) 568-6646
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
D4G9H6Y6
FL
172A00000X
Driver
D4G9H6Y6
FL
174400000X
Specialist
D4G9H6Y6
FL
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
D4G9H6Y6
FL
372600000X
Adult Companion
D4G9H6Y6
FL
3747P1801X
Personal Care Attendant
D4G9H6Y6
—
374U00000X
Home Health Aide
D4G9H6Y6
FL
376K00000X
Nurse's Aide
D4G9H6Y6
FL
405300000X
Prevention Professional
D4G9H6Y6
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D4G9H6Y6
MEDICAL ASSISTANT
FL
Enumeration date
12/27/2022
Last updated
12/27/2022
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