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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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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