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JIMMY DORIVAL, APRN

APRN

Family Nurse Practitioner

NPI: 1114372596IndividualAccepts Medicare

Specialties, Licenses & Credentials

Specialist/Technologist, Other — Surgical Assistant

Code: 246ZC0007X

16-270(FL)

Nurse Practitioner

Code: 363L00000X

11019774(FL)

Nurse Practitioner — Family

Code: 363LF0000X

APRN11019774(FL)

CMS Specialties

Education

OTHER

Class of 2021

Contact & Hours

Address
672 SW PRIMA VISTA BLVD STE 102
PORT ST LUCIE, FL 34983

Quick Facts

NPI
1114372596
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
3
Locations
1
Years in Practice
5

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