Most Relevant Information
Provider Data
| NPI Number: | 1003351578 |
| Provider Name: | DORETHA ROUSE |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC0400X |
| Specialty: | Registered Nurse |
| License Number: | RN 1425012 |
Most Important Dates
| Enumeration Date: | 12/19/2016 |
| Last Updated: | 12/19/2016 |
Provider Practice Location
7912 FOREST CITY RD
ORLANDO
FL
328102907
Practice Location Phone/Fax
| Phone: | 4079881075 |
| Fax: |
Provider Mailing Location
1940 LAKE ROBERTS LANDING DR
WINTER GARDEN
FL
347875579
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |