Individual
DR. DARLENE P. DA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2815 S SEACREST BLVD, ATTENTION: BETSY COX, BOYNTON BEACH, FL 33435-7934
(561) 736-1200
(561) 742-1919
Mailing address
200 KNUTH RD, SUITE 200, BOYNTON BEACH, FL 33436-4629
(561) 736-1200
(561) 742-1919
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME 101544
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000123600
—
FL
01
—
44026
BLUE CROSS BLUE SHIELD
FL
01
—
ME 101544
MEDICAL LICENSE NUMBER
FL
Enumeration date
05/19/2008
Last updated
09/11/2008
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