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Ivanisse Marie Betancourt
Case Management Registered Nurse in Davenport, Florida
NPI 1982319729

Ivanisse Marie Betancourt is a Case Management Registered Nurse based in Davenport, FL and is specialized in Case Management. Ivanisse Marie Betancourt practices in Davenport, FL. The NPI Number for Ivanisse Marie Betancourt is 1982319729 and holds a License No. 251B00000X (Florida).

The current practice location address for Ivanisse Marie Betancourt is 121 Flatwoods Loop, Davenport, FL and can be reached out via phone at 407-729-9861.

Location: 121 Flatwoods Loop, Davenport, FL, 33837-3888
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982319729
Provider Name
Ivanisse Marie Betancourt
Credential
Provider Entity Type
Individual
Gender
Female
Address
121 Flatwoods Loop, Davenport, FL, 33837-3888
Phone Number
407-729-9861
Fax Number
Provider Enumeration Date
01/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
121 Flatwoods Loop
City
Davenport
State
Florida
Zip
33837-3888
Phone Number
407-729-9861
Fax Number
person
Provider Business Mailing Address Details
Address
121 Flatwoods Loop
City
Davenport
State
Florida
Zip
33837-3888
Phone Number
407-729-9861
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Case Management
Taxonomy
163WC0400X
License No.
251B00000X (Florida)
Definition
Definition to come...
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