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NPI Code Detail

MEDICARE: DARLYNE GEORGES

MEDICARE:   DARLYNE  GEORGES
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
1364SF0001XFamily Health Clinical Nurse SpecialistARNP9169443FL
2363LF0000XFamily Nurse PractitionerAPRN9169443FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1APRN9169443OTHERFLAPRN LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982090296
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARLYNE GEORGES
Provider Business Mailing Address
First Line : 214 W BRANDON BLVD
Second Line :
City : BRANDON
State : FL
Zip : 33511-5104
Country : US
Telephone Number : 813-438-5220
Fax Number : 813-438-5220
Provider Business Practice Location Address
First Line : 214 W BRANDON BLVD
Second Line :
City : BRANDON
State : FL
Zip : 33511-5104
Country : US
Telephone Number : 813-438-5220
Fax Number : 813-438-5220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2015
Last Update Date : 05/18/2022

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Directions to “ DARLYNE GEORGES ” Practice Location

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