Healthcare Provider Details

I. General information

NPI: 1770038978
Provider Name (Legal Business Name): CLAUDINE DOREE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2016
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 NW FEDERAL HWY STE 173
STUART FL
34994-1019
US

IV. Provider business mailing address

23478 SW 112TH CT
HOMESTEAD FL
33032-7146
US

V. Phone/Fax

Practice location:
  • Phone: 772-362-9878
  • Fax: 772-362-9879
Mailing address:
  • Phone: 347-478-1879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW26875
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-18-54605
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: