MARY DACOSTA FNP-C
NPI 1689456386
Nurse Practitioner in Tavares, FL

Active since October 17, 2023
1000 WATERMAN WAY, TAVARES, FL 32778(407) 456-3948 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Dacosta Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY DACOSTA FNP-C (NPI 1689456386) is an individual nurse practitioner in Tavares, Florida, licensed in Florida (APRN11026020) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1689456386
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY DACOSTACredential: FNP-C
Location Address1000 WATERMAN WAYTavares, FL 32778-5266
Mailing AddressPo Box 917361Longwood, FL 32791-7361
Sole ProprietorNo
Enumeration DateOctober 17, 2023
NPPES CertifiedOctober 17, 2023
NPI 1689456386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · APRN11026020
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1000 WATERMAN WAY, Tavares, FL 32778

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1000 WATERMAN WAY
TAVARES, FL 32778
Registered Nurse
1000 WATERMAN WAY
TAVARES, FL 32778
Anesthesiology
1000 WATERMAN WAY
TAVARES, FL 32778
Anesthesiology
1000 WATERMAN WAY
TAVARES, FL 32778
Registered Nurse (Registered Nurse First Assistant)
1000 WATERMAN WAY, SURGICAL SERVICES
TAVARES, FL 32778
Anesthesiology
1000 WATERMAN WAY
TAVARES, FL 32778
Internal Medicine
1000 WATERMAN WAY
TAVARES, FL 32778
Pathology (Anatomic Pathology & Clinical Pathology)
1000 WATERMAN WAY
TAVARES, FL 32778

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689456386, enumerated as an "individual" on October 17, 2023.

The provider is located at 1000 WATERMAN WAY TAVARES, FL 32778 and the phone number is (407) 456-3948.

Nurse Practitioner with taxonomy code 363L00000X.