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Individual

AMINA MARIE DEFALCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1300 N LAWNWOOD CIR, FORT PIERCE, FL 34950-4884
(772) 302-3977
(877) 229-5205
Mailing address
915 SW BUTTERFLY TER, PORT ST LUCIE, FL 34953-1526
(772) 342-2715

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11033594
FL

Other

Enumeration date
07/01/2024
Last updated
03/04/2025
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