Jimmy Dorival, APRN
Jimmy Dorival, APRN is a Nurse Practitioner in Port St Lucie, Florida. Qualified in 2021, 5 years ago. Practices with Kopa LLC, a 39-clinician group and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 5
- Licensed in
- FL
- In the registry since
- 2016
- Specialties on file
- 3
What do these letters mean?
- APRN — Advanced Practice Registered Nurse
- The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
Practice location Address checks out
672 SW Prima Vista Blvd Ste 102Port St Lucie, FL 34983-1820
Phone: (772) 905-2560
Fax: (772) 336-8341
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence APRN11019774 (FL) |
|---|---|
| Surgical Assistant | Taxonomy 246ZC0007X · Licence 16-270 (FL) |
| Nurse Practitioner | Taxonomy 363L00000X · Licence 11019774 (FL) |
Record details
| NPI number | 1114372596 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | APRN |
| Sole proprietor | Yes |
| NPI enumerated | May 4, 2016 |
| Last updated in NPPES | November 17, 2022 |
| Certification date | November 17, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Kopa Llc — 39 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Port St Lucie
-
Jennifer J Ramos, CSFA
1581 SW Bayshore Blvd, Port St Lucie, FL 34983 · (561) 603-7564