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Jacqueline Jennifer Gourdet Dorvil, MD

NPI 1053085506ActiveIndividual· General Practice· Miami, FL

General Practice (MD) with Conviva Medical Center Management, LLC, practicing in Miami, Florida. Enrolled in Medicare as practitioner - general practice. Glaxosmithkline, LLC. reported $19.45 in payments in 2025, mostly food and beverage.

Overview

NPI1053085506
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedAug 6, 2021
Last updated in NPPESFeb 24, 2026
Certified by providerFeb 24, 2026

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000XACN1686FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - General Practice (FL)

Medicare sources and data years

Education and affiliations

Graduation year2000
Medicare specialtyGeneral Practice
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$19.45 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Glaxosmithkline, LLC.$19.451

What the 2025 payments were for

  • Food and Beverage$19.45 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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