Dasilva, Judy R

Dasilva, Judy R is an individual health care provider with primary practice located at 1095 Nw St Lucie West Blvd , Port St Lucie FL 34952-7564. 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. Dasilva, Judy R can be contacted via phone (772) 785-5570.

Contact Information

Primary practice address
1095 Nw St Lucie West Blvd Port St Lucie FL 34952-7564
Phone: (772) 785-5570
Fax: (772) 785-5553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP2136652 Florida

Profile Details

NPI number 1568405579
LBN Legal business name Dasilva, Judy R
Credentials DNP, MSN, ARNP, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Oct 9th, 2020 - about 5 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1568405579 NPPES
Florida MEDICAID 306082900

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