Individual
JOCELYN DORFILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICENSED OPTICIAN
Contact information
Practice address
4135 DR MARTIN LUTHER KING BLVD, FORT MYERS, FL 33916-4809
(239) 313-5259
(239) 672-4368
Mailing address
4135 DR MARTIN LUTHER KING BLVD, FORT MYERS, FL 33916-4809
(239) 313-5259
(239) 672-4368
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO5041
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84-4973677
IRS
FL
Enumeration date
07/20/2020
Last updated
07/20/2020
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