Provider Demographics
NPI:1194181800
Name:DORSAINT, MARIE CAROLE (ARNP)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:CAROLE
Last Name:DORSAINT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:CAROLE
Other - Last Name:DORSAINT-SIMON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:10057 JOCKEY RD
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33449-5430
Mailing Address - Country:US
Mailing Address - Phone:786-380-5124
Mailing Address - Fax:
Practice Address - Street 1:10057 JOCKEY RD
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33449-5430
Practice Address - Country:US
Practice Address - Phone:786-380-5124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-11
Last Update Date:2019-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2002782363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily