Peterson Dorce

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

4398 SW Verink St
Port Saint Lucie, FL 34953-7822

Phone

(305) 330-8101

NPI assigned

Mar 4, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Essential Care Center LLC

  • Developmentally Disabled Services Day Training Agency
  • Port Saint Lucie, FL
  • NPI 1578207510
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1952642860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4398 SW VERINK ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349537822",
            "telephone_number": "305-330-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4398 SW VERINK ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349537822",
            "telephone_number": "305-330-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORCE",
        "first_name": "PETERSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-04",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanould Dolcine, MD
• Robert Allen Donaldson Jr. Jr.
• Robert Donaldson
• Cara Elizabeth Donnelly, DO
• Door to Door Senior Transportation , LLC
• Noemi Dornfeld
• Dorrel'S Place
• Yves Carmen Dorsainvil
• Kerri Marie Dowling, ARNP-C
• Joyce A Doyle, PT

• Other Technician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Other Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.