Provider Demographics
NPI:1346536745
Name:DORVAL, ERIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:DORVAL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 S FLAGLER DR
Mailing Address - Street 2:PO BOX 24708
Mailing Address - City:WEST PALM BEAC
Mailing Address - State:FL
Mailing Address - Zip Code:33416-4708
Mailing Address - Country:US
Mailing Address - Phone:561-803-2742
Mailing Address - Fax:561-803-2703
Practice Address - Street 1:100 JOHN F KENNEDY DR
Practice Address - Street 2:
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-1120
Practice Address - Country:US
Practice Address - Phone:615-232-2893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS44690183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist