Individual
DORRIE ELIZABETH BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 FORESTDALE DR, ORLANDO, FL 32808-2810
(407) 766-3505
Mailing address
3400 FORESTDALE DR, ORLANDO, FL 32808-2810
(407) 766-3505
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNA358692
NURSING LICENSE
FL
Enumeration date
03/26/2018
Last updated
03/26/2018
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