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Individual

DARIEN LAVOY JOSEPH

Inactive
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2569 PONKAN SUMMIT DR, APOPKA, FL 32712-6415
(321) 960-7362
Mailing address
2569 PONKAN SUMMIT DR, APOPKA, FL 32712-6415
(321) 960-7362

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN9190043
FL
163WH0200X
Home Health Registered Nurse
RN9190043
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
86-2767155
FL
Enumeration date
04/13/2021
Last updated
05/24/2021
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