| Ophelia Dacosta-green, APRN | |
|
2217 North Blvd W, Davenport, FL 33837-8990 | |
| (863) 421-3456 | |
| (863) 421-3466 |
| Full Name | Ophelia Dacosta-green |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 2217 North Blvd W, Davenport, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053826297 | NPI | - | NPPES |
| NP9199962 | Other | FL | FNP CERTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | ARNP9199962 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Heart Of Florida | Davenport, FL | Hospital |
| Adventhealth Orlando | Orlando, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Physician Group Inc | 2365679057 | 631 |
| Entity Name | South Florida Surgical Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952409963 PECOS PAC ID: 5799881660 Enrollment ID: O20070509000683 |
| Entity Name | Urology Medical Specialists, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164772935 PECOS PAC ID: 2466604616 Enrollment ID: O20121214000246 |
| Entity Name | Florida Hospital Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
| Mailing Address | Practice Location Address |
|---|---|
| Ophelia Dacosta-green, APRN 6311 Nw 2nd St, Margate, FL 33063-5156 Ph: (954) 592-7947 | Ophelia Dacosta-green, APRN 2217 North Blvd W, Davenport, FL 33837-8990 Ph: (863) 421-3456 |
Briana Brown, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7575 Osceola Polk Line Rd, Davenport, FL 33896 Phone: 321-677-0531 | |
Kelly Marie Lafond, RN, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Webb Drive, Suite 300, Davenport, FL 33837 Phone: 863-422-0020 Fax: 863-422-0021 | |
Obinna Nwulu, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3063 Serendipity Way, Davenport, FL 33896 Phone: 407-556-5762 | |
Eileen J Ruiz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2201 North Blvd W, Davenport, FL 33837 Phone: 863-419-0688 | |
Alysha N Petroff, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40215 Highway 27, Davenport, FL 33837 Phone: 863-421-9705 Fax: 863-421-9779 | |
Mrs. Chrisja Marie Ramos, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1085 Mountain Flower Ln, Davenport, FL 33837 Phone: 407-757-9966 |