NPI 1720809965

Mura Daraban

Practitioner Custodial Care Facility Port Saint Lucie, FL

Practice location

Address: 1477 SW Goodman Ave, Port Saint Lucie, FL 34953-1418
Phone: (561) 628-0832
Mailing address: 4077 Manor Forest Trl, Boynton Beach, FL 33436-8850

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X

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Registry record

NPI: 1720809965
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Oct 2024
Record last updated: 11 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.