Dacosta, Mary
Dacosta, Mary is an individual health care provider with primary practice located at 1000 Waterman Way , Tavares FL 32778-5266. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dacosta, Mary can be contacted via phone (407) 456-3948.Contact Information
Primary practice address
1000 Waterman Way
Tavares FL 32778-5266
Phone: (407) 456-3948
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APRN11026020 | Florida |
Profile Details
NPI number | 1689456386 |
---|---|
LBN Legal business name | Dacosta, Mary |
Credentials | FNP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 17th, 2023 |
Last updated | Oct 17th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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