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Individual

MISS DIANNE GLADYS COPENHAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
8750 SW HIGHWAY 200, SUITE 103, OCALA, FL 34481-7810
(352) 861-5444
(352) 861-5447
Mailing address
8750 SW HIGHWAY 200, SUITEE 103, OCALA, FL 34481-7810
(352) 861-5444
(352) 861-5447

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP3051262
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Y9176
BCBS OF FL
FL
Enumeration date
04/04/2006
Last updated
01/31/2017
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