Healthcare Provider Details

I. General information

NPI: 1619768397
Provider Name (Legal Business Name): JEMIMA DORCIN MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5648 RAMBLER ROSE WAY
WEST PALM BEACH FL
33415-4505
US

IV. Provider business mailing address

5648 RAMBLER ROSE WAY
WEST PALM BEACH FL
33415-4505
US

V. Phone/Fax

Practice location:
  • Phone: 561-779-6328
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: