Provider Demographics
NPI:1326512443
Name:DORCE, FRANCINE I (TCM)
Entity Type:Individual
Prefix:MISS
First Name:FRANCINE
Middle Name:
Last Name:DORCE
Suffix:I
Gender:F
Credentials:TCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 LYNBROOKE VIEW CT APT 4
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-4624
Mailing Address - Country:US
Mailing Address - Phone:407-640-3484
Mailing Address - Fax:
Practice Address - Street 1:2300 LYNBROOKE VIEW CT APT 4
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-4624
Practice Address - Country:US
Practice Address - Phone:407-640-3484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-12
Last Update Date:2019-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCBHCM102261171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCBHCM102261Medicaid