Basic Information
| Provider Information | |||||||||
| NPI: | 1033764048 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DORICENT | ||||||||
| FirstName: | AURELIE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4998 10TH AVE N | ||||||||
| Address2: | |||||||||
| City: | GREENACRES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334632210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5612932900 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4998 10TH AVE N | ||||||||
| Address2: | |||||||||
| City: | GREENACRES | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334632210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5612932900 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/06/2019 | ||||||||
| LastUpdateDate: | 10/07/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/07/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | ARNP9176731 | FL | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LF0000X | APRN11003901 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.