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Organization
DAEGAVINCHRIS,LLC
Active
Organization
DAEGAVINCHRIS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDINE GEORGE ARNP (OWNER)
(772) 626-1002
Entity
Organization
Contact information
Practice address
4574 SW TABOR ST, PORT ST LUCIE, FL 34953-6740
(772) 626-1002
(772) 871-0055
Mailing address
4574 SW TABOR ST, PORT ST LUCIE, FL 34953-6740
(772) 626-1002
(772) 871-0055
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
NULL
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
05/08/2020
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