Individual provider · Type 1 NPI

Lida Cako, APRN

Nurse Practitioner · Daytona Beach, FL

NPI number 1982414702 Active

Practice location

305 Memorial Medical Pkwy Ste 501
Daytona Beach, FL 32117-5170

Fax (386) 615-0902

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X9497116 (FL)
Nurse Practitioner Primary 363L00000XAPRN11038863 (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 1982414702

Lida Cako, APRN's National Provider Identifier is 1982414702, issued on Jan 13, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Daytona Beach, FL. The record was last updated on Aug 5, 2025.