Individual
OLIVIA DAIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 TAMPA GENERAL CIR FL 7, TAMPA, FL 33606-3571
(603) 767-0490
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
11014094
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11014094
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112864500
—
FL
01
—
4XJ8G
BCBS
FL
Enumeration date
09/22/2021
Last updated
02/04/2022
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