Individual provider · Type 1 NPI

Anthony Dicostanzo, NP

Nurse Practitioner · South Daytona, FL

NPI number 1891584777 Active

Practice location

401 Venture Dr
South Daytona, FL 32119-3478

Call (386) 761-8888 Map

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X11039273 (FL)

Nurse Practitioner: (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 wit…

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About NPI 1891584777

Anthony Dicostanzo, NP's National Provider Identifier is 1891584777, issued on May 6, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in South Daytona, FL. The record was last updated on Mar 11, 2026.