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1053826297
OPHELIA DACOSTA-GREEN
DAVENPORT, FL
NPI
1053826297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: FL ARNP9199962)
Enumeration Date
2017-12-11
Last Update Date
2023-12-26
Business Address
OPHELIA DACOSTA-GREEN APRN
2217 NORTH BLVD W
DAVENPORT, FL 33837-8990
Phone number: 863-421-3456
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Mailing Address
OPHELIA DACOSTA-GREEN APRN
6311 NW 2ND ST
MARGATE, FL 33063-5156
Phone number: 954-592-7947
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