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Organization
SAINT TERESA OF AVILA HEALTHCARE PA
Active
Organization
SAINT TERESA OF AVILA HEALTHCARE PA
Active
Other names
Saint Teresa of Avila Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DANIELA ANDREINA IBARRA NURSE PRACTITIONER (AUTHORIZED OFFICIAL)
(772) 539-0214
Entity
Organization
Contact information
Practice address
1766 20TH AVE STE 2, VERO BEACH, FL 32960-3632
(772) 539-0214
(772) 298-4170
Mailing address
1766 20TH AVE STE 2, VERO BEACH, FL 32960-3632
(772) 539-0214
(772) 298-4170
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
02/25/2025
Last updated
12/19/2025
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