Individual
DARIS A ACOSTA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3201 W WATERS AVE STE A&B, TAMPA, FL 33614-2879
(813) 915-0055
Mailing address
3201 W WATERS AVE STE A&B, TAMPA, FL 33614-2879
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11023588
FL
Other
Enumeration date
12/19/2022
Last updated
12/23/2022
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