DAEGAVINCHRIS,LLC
NPI 1891337655
Nurse Practitioner - Gerontology in Port St Lucie, FL

Q: What is Daegavinchris,llc's NPI number?

The NPI number for Daegavinchris,llc is 1891337655. It was assigned to this organization in the NPPES registry on October 14, 2019.

Q: What is Daegavinchris,llc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Daegavinchris,llc was last updated on May 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 14, 2019

4574 SW TABOR ST, PORT ST LUCIE, FL 34953(772) 626-1002(772) 871-0055 Get Directions Write a Review

NPPES record last updated: May 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 8, 2020, Oct 14, 2019 (2 updates tracked since 2019).

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About Daegavinchris,llc NPPES

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

DAEGAVINCHRIS,LLC (NPI 1891337655) is a healthcare organization registered as a gerontology in Port St Lucie, Florida and active in the NPI registry since October 2019. The organization lists Claudine George, Owner, as its authorized official.

NPPES Registry Identity

NPI1891337655

Entity TypeOrganization

Primary Taxonomy363LG0600X

Legal Business NameDAEGAVINCHRIS,LLC

Location Address4574 SW TABOR STPort St Lucie, FL 34953-6740

Mailing Address4574 Sw Tabor StPort St Lucie, FL 34953-6740 · (772) 626-1002 · Fax (772) 871-0055

Phone(772) 626-1002

Fax(772) 871-0055

Organization SubpartNo

Authorized OfficialClaudine GeorgeOwner · (772) 626-1002

Enumeration DateOctober 14, 2019

Last NPPES UpdateMay 8, 20202 updates tracked since enumeration

NPPES CertifiedMay 8, 2020

✔ NPI 1891337655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

4574 SW TABOR ST, Port St Lucie, FL 34953

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ECHELON PREMIUM HEALTH LLC

Registered Nurse (Community Health)

4574 SW TABOR ST
PORT SAINT LUCIE, FL 34953

St. Lucie County (772) 626-1002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daegavinchris,llc's NPI number?

The NPI number for Daegavinchris,llc is 1891337655. It was assigned to this organization in the NPPES registry on October 14, 2019.

Where is Daegavinchris,llc located?

Daegavinchris,llc is located at 4574 SW Tabor St, Port St Lucie, FL 34953. The listed phone number is (772) 626-1002.

What is Daegavinchris,llc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Daegavinchris,llc was last updated on May 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.