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NPI 1902911985 · live from the CMS NPI Registry

Ligeia C. Damaso, ARNP

Nurse Practitioner in Jacksonville, FL. National Provider Identifier 1902911985, active.

NPI record

NPI1902911985 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner 363L00000X
Practice location807 Childrens Way, Jacksonville, FL 32207
Practice phone904-390-3600
Mailing addressPo Box 191, Provider Enrollment Dept, Rockland, DE 19732
EnumeratedAugust 20, 2006
Last updatedSeptember 12, 2011
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner primary363L00000XARNP9180675 (FL)
Nurse Practitioner, Pediatrics363LP0200XARNP9180675 (FL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.