Provider Demographics
NPI:1740798891
Name:DORCELUS, MARIETTE II (ARNP)
Entity type:Individual
Prefix:DR
First Name:MARIETTE
Middle Name:
Last Name:DORCELUS
Suffix:II
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13874 TANGERINE BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BCH
Mailing Address - State:FL
Mailing Address - Zip Code:33412-1929
Mailing Address - Country:US
Mailing Address - Phone:254-462-1992
Mailing Address - Fax:
Practice Address - Street 1:13874 TANGERINE BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BCH
Practice Address - State:FL
Practice Address - Zip Code:33412-1929
Practice Address - Country:US
Practice Address - Phone:254-462-1992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-10
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9361053363LG0600X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology