Provider Demographics
NPI:1316239767
Name:DORCE, LEONIE VALERY (ARNP)
Entity type:Individual
Prefix:MRS
First Name:LEONIE
Middle Name:VALERY
Last Name:DORCE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7415 N AUGUSTA DR
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-2050
Mailing Address - Country:US
Mailing Address - Phone:954-558-8524
Mailing Address - Fax:305-836-5534
Practice Address - Street 1:1190 NW 95TH ST STE 401
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33150-2067
Practice Address - Country:US
Practice Address - Phone:305-836-6221
Practice Address - Fax:305-836-5534
Is Sole Proprietor?:No
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9195074363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health