Individual
MRS. NICOLE KINIS DORSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44 SEMINOLE ST, SORRENTO, FL 32776-9292
(321) 297-7337
Mailing address
44 SEMINOLE ST, SORRENTO, FL 32776-9292
(321) 297-7337
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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