Healthcare Provider Details

I. General information

NPI: 1891081204
Provider Name (Legal Business Name): CHRISTINE PAULA DORMAN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2011
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1192 E NEWPORT CENTER DR
DEERFIELD BEACH FL
33442-7753
US

IV. Provider business mailing address

1192 E NEWPORT CENTER DR
DEERFIELD BEACH FL
33442-7753
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-4050
  • Fax:
Mailing address:
  • Phone: 305-243-4050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberARNP2990632
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: