Healthcare Provider Details

I. General information

NPI: 1518873025
Provider Name (Legal Business Name): KETLINE FRANCOIS DORSAINVIL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3141 S MILITARY TRL STE 103
LAKE WORTH FL
33463-2133
US

IV. Provider business mailing address

3141 S MILITARY TRL STE 103
LAKE WORTH FL
33463-2133
US

V. Phone/Fax

Practice location:
  • Phone: 561-928-5128
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11046470
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: