Provider Demographics
NPI:1033764048
Name:DORICENT, AURELIE
Entity type:Individual
Prefix:
First Name:AURELIE
Middle Name:
Last Name:DORICENT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11830 NW 25TH STREET
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33323-1200
Mailing Address - Country:US
Mailing Address - Phone:754-252-6690
Mailing Address - Fax:800-574-5053
Practice Address - Street 1:11830 NW 25TH STREET
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33323-1200
Practice Address - Country:US
Practice Address - Phone:754-252-6690
Practice Address - Fax:800-574-5053
Is Sole Proprietor?:No
Enumeration Date:2019-08-06
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11003901363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily