Most Relevant Information
Provider Data
| NPI Number: | 1003370784 |
| Provider Name: | SANDRA DORNEVAL |
| Entity Type: | Individual |
| Taxonomy Code: | 227800000X |
| Specialty: | Respiratory Therapist, Certified |
| License Number: | TT16502 |
Most Important Dates
| Enumeration Date: | 01/26/2019 |
| Last Updated: | 01/26/2019 |
Provider Practice Location
650 NE 142ND ST
NORTH MIAMI
FL
331613147
Practice Location Phone/Fax
| Phone: | 3052442100 |
| Fax: |
Provider Mailing Location
650 NE 142ND ST
NORTH MIAMI
FL
331613147
Provider Mailing Phone/Fax
| Phone: | 3052442100 |
| Fax: |