Individual Healthcare Provider
Ophelia Dacosta-Green, APRN
Provider's NPPES record last updated: September 12, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1053826297
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Davenport, Florida
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 3:00 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Provider-Reported License Information
- Nurse Practitioner (Florida)
- ARNP9199962
Practice Locations
Practice Location
2217 North Blvd W
Davenport, Florida 33837-8990
Phone: (863) 421-3456
Additional Practice Location
6311 Nw 2nd St
Margate, Florida 33063-5156
Phone: (954) 592-7947
Additional Practice Location
601 E Sample Rd Ste 105
Deerfield Beach, Florida 33064-4443
Phone: (954) 943-1133
Fax: (954) 783-6845
Additional Practice Location
4515 Wiles Rd Ste 201
Coconut Creek, Florida 33073-3414
Phone: (954) 943-1133
Fax: (954) 783-6845
Record Information
- Enumeration Date
- December 11, 2017
- Provider's NPPES Record Last Updated
- September 12, 2025
- Certification Date
- December 26, 2023
- NPISignal NPPES Dataset
- August 2026
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