Most Relevant Information
Provider Data
| NPI Number: | 1003312042 |
| Provider Name: | DESTINEE RENEE OGEA |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | AP137195 |
Most Important Dates
| Enumeration Date: | 03/30/2018 |
| Last Updated: | 11/02/2021 |
Provider Practice Location
8431 POINTE LOOP DR FL 1
VENICE
FL
342932232
Practice Location Phone/Fax
| Phone: | 9412075350 |
| Fax: | 9412075352 |
Provider Mailing Location
8431 POINTE LOOP DR FL 1
VENICE
FL
342932232
Provider Mailing Phone/Fax
| Phone: | 9412075350 |
| Fax: | 9412075352 |