MEDICARE: DORISEL DOPICO SANCHEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		FL

General Provider Information

NPI Number	:	1679334528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DORISEL DOPICO SANCHEZ

Provider Business Mailing Address
First Line	:	4327 71ST ST N
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33404-4825
Country	:	US
Telephone Number	:	561-388-0020
Fax Number	:

Provider Business Practice Location Address
First Line	:	4327 71ST ST N
Second Line	:
City	:	RIVIERA BEACH
State	:	FL
Zip	:	33404-4825
Country	:	US
Telephone Number	:	561-388-0020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2024
Last Update Date	:	01/18/2024

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Directions to “ DORISEL DOPICO SANCHEZ ” Practice Location

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