GODLIVE DESRAVINES

ST AUGUSTINE, FL
NPI1750072518
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  APRN11023834)
Enumeration Date2023-05-15
Last Update Date2026-08-14
Business Address
GODLIVE DESRAVINES APRN
1880 SAN SEBASTIAN VW STE 4201
ST AUGUSTINE, FL 32084-8684
Phone number: 800-539-4228
Mailing Address
GODLIVE DESRAVINES APRN
150 MAGNOLIA AVE
DAYTONA BEACH, FL 32114-4304
Phone number: 800-539-4228
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