Unknown Individual – Registered Nurse, NPI 1740287747
Registered Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2945, Lantern Drive, South Daytona, Volusia County, Florida, 32119, United States
SOUTH DAYTONA, FL 321198510
Phone: (386) 236-3188
Fax: (386) 226-0492
Type: Mailing
1220, Willis Avenue, Daytona Beach, Volusia County, Florida, 32114, United States
DAYTONA BEACH, FL 321142810
Phone: (386) 236-3188
Fax: (386) 226-0492
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32119)
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