Healthcare Provider Details

I. General information

NPI: 1619832201
Provider Name (Legal Business Name): DESIREE DALUZ MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30359 LARIMAR LN
WESLEY CHAPEL FL
33545-4460
US

IV. Provider business mailing address

30359 LARIMAR LN
WESLEY CHAPEL FL
33545-4460
US

V. Phone/Fax

Practice location:
  • Phone: 813-369-8949
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11044230
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: