Individual provider · Type 1 NPI

Jimmy Dorival, APRN

Family Nurse Practitioner · Port St. Lucie, FL

NPI number 1114372596 Active

Practice location

672 SW Prima Vista Blvd Ste 102
Port St. Lucie, FL 34983-1820

Fax (772) 336-8341

Mailing address

199 Mulberry Grove Rd
Royal Palm Beach, FL 33411-4520

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X11019774 (FL)
Surgical Assistant 246ZC0007X16-270 (FL)
Family Nurse Practitioner Primary 363LF0000XAPRN11019774 (FL)

Family Nurse Practitioner: Definition to come...

5 other providers at this address

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About NPI 1114372596

Jimmy Dorival, APRN's National Provider Identifier is 1114372596, issued on May 4, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Oct 8, 2026.