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Mura Daraban

NPI 1720809965ActiveIndividual· Custodial Care Facility· Port Saint Lucie, FL

Custodial Care Facility in Port Saint Lucie, Florida, with an NPI issued in October 2024.

Overview

NPI1720809965
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedOct 21, 2024
Last updated in NPPESNov 11, 2024
Certified by providerNov 11, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Custodial Care Facility Primary311Z00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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