Individual
DAMILA PINA BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2307 BOLADO PKWY, CAPE CORAL, FL 33990-2712
(239) 424-8122
Mailing address
2307 BOLADO PKWY, CAPE CORAL, FL 33990-2712
(239) 424-8122
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11021724
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AG09220007
AANP
—
Enumeration date
09/09/2022
Last updated
09/14/2023
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