Healthcare Provider Details

I. General information

NPI: 1326512443
Provider Name (Legal Business Name): FRANCINE DORCE I TCM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2019
Last Update Date: 01/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 LYNBROOKE VIEW CT APT 4
ORLANDO FL
32822-4624
US

IV. Provider business mailing address

2300 LYNBROOKE VIEW CT APT 4
ORLANDO FL
32822-4624
US

V. Phone/Fax

Practice location:
  • Phone: 407-640-3484
  • Fax:
Mailing address:
  • Phone: 407-640-3484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License NumberCBHCM102261
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: