Individual
DAILYN RAMOS VIVANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13670 METROPOLIS AVE STE 101, FORT MYERS, FL 33912-4346
(239) 410-9453
Mailing address
13670 METROPOLIS AVE STE 101, FORT MYERS, FL 33912-4346
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F03220888
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F03220888
CERTIFICATION NUMBER
FL
Enumeration date
06/17/2022
Last updated
06/17/2022
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