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Individual

DARLA ANN LAGORSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(407) 303-2528
Mailing address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(407) 303-2528

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704224783
MI
363LN0000X
Neonatal Nurse Practitioner
4704224783
MI
363LN0000X
Neonatal Nurse Practitioner
Primary
APRN11032193
FL

Other

Enumeration date
09/16/2019
Last updated
05/21/2025
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