Individual
DORRETT M CODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
703 N FLAMINGO RD, PEMBROKE PINES, FL 33028-1006
(954) 265-9976
(954) 965-5396
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025
(954) 276-5663
(954) 276-0301
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1277362
FL
363LF0000X
Family Nurse Practitioner
ARNP 1277362
FL
Other
Enumeration date
05/23/2007
Last updated
03/16/2021
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