Male or Other

Mr. Daniel S. Frutos PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner in Miami Lakes, FL(View on Map)

Full Name

Mr. Daniel Santos Frutos PMHNP-BC

NPI Number

1952064115

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/14/2021

Specialties

(Taxonomies)

Code

363LP0808X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

APRN11015901

Contact
Information

Purpose

Mailing
Location

Address

15233 NW 87TH CT
15233 NW 87TH CT

City

Miami Lakes
Miami Lakes

State

FL
FL

Postal Code

33018-1359
33018-1359

Country

US
US

Telephone Number

(305) 733-9525
(305) 733-9525

Identifiers

Identifier

O9774

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/09/2023

Provider Address

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