MEDICARE: DESIREE MARIE DAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	2025089019	FL

General Provider Information

NPI Number	:	1932065240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DESIREE MARIE DAY

Provider Business Mailing Address
First Line	:	12 LLEBERRY PATH
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-5838
Country	:	US
Telephone Number	:	516-225-6493
Fax Number	:

Provider Business Practice Location Address
First Line	:	12 LLEBERRY PATH
Second Line	:
City	:	PALM COAST
State	:	FL
Zip	:	32164-5838
Country	:	US
Telephone Number	:	516-225-6493
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2025
Last Update Date	:	12/30/2025

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Directions to “ DESIREE MARIE DAY ” Practice Location

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