Individual
DR. DOROTHIE SCANDY DUROSIER MERTILUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
Mailing address
3508 JEFFERSON COMMONS DR APT 101A, TAMPA, FL 33613-6415
(239) 265-5044
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
ARNP9370705
FL
363LG0600X
Gerontology Nurse Practitioner
ARNP9370705
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9370705
FL
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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