Sandra S Daccarett
Nurse Practitioner - Gerontology Nurse Practitioner - Primary Care
3090 Nw 46th Ave Apt 104
Lauderdale Lakes
, Florida 33313-1866
Sandra S Daccarett
Nurse Practitioner - Gerontology Nurse Practitioner - Primary Care
3090 Nw 46th Ave Apt 104
Lauderdale Lakes
, Florida 33313-1866
(954) 730-9147
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About
Features
Specialties
- Nurse Practitioner - Gerontology
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Sandra S Daccarett
- 3090 N.w 46 Ave #104
- Lauderdale Lakes, FL
- Zip : 33313
- Phone : (954) 730-9147
Second Address
- Sandra S Daccarett
- 3090 Nw 46th Ave Apt 104
- Lauderdale Lakes, FL
- Zip : 33313-1866
- Phone : (954) 730-9147
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Is Sandra S Daccarett a sole practitioner?
Is Sandra S Daccarett accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LG0600X | Nurse Practitioner - Gerontology | ARNP9207369 | FL |
| Y | 363LP2300X | Nurse Practitioner - Primary Care | ARNP9207369 | FL |
National Provider Identifier
| NPI | 1093089245 |
|---|---|
| Provider Name | Sandra S Daccarett |
| First Address | Lauderdale Lakes, FL 33313 |
| Second Address | Lauderdale Lakes, FL 33313-1866 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/03/2012 |
| Last Update Date | 29/04/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.