Individual
DAISY CUC TU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
14534 OLD SAINT AUGUSTINE RD STE 3420, JACKSONVILLE, FL 32258-2645
(904) 493-8001
(904) 388-0852
Mailing address
PO BOX 43667, JACKSONVILLE, FL 32203-3667
(904) 720-0599
(904) 376-4036
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11011488
FL
363LF0000X
Family Nurse Practitioner
APRN11011488
FL
Other
Enumeration date
03/23/2021
Last updated
12/03/2021
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