Individual
DENISE K COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
99198 OVERSEAS HWY STE 5, KEY LARGO, FL 33037-2437
(305) 451-8018
(305) 451-8019
Mailing address
99198 OVERSEAS HWY STE 5, KEY LARGO, FL 33037-2437
(305) 451-8018
(305) 451-8019
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060278700
—
FL
Enumeration date
04/13/2011
Last updated
04/13/2011
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