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Provider Information for 1932781333


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DANAE PERAZA


Sex: Female

NPI: 1932781333
Last Updated: 2021-04-25
Certification Date: 2021-04-25

Details

NameValue
NPI1932781333
Enumeration Date2021-04-25
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 9924 VICTORY GALLOP LOOP
RUSKIN, FL 33573-6743
United States

Phone: | Fax:
 
Primary Practice Address 9924 VICTORY GALLOP LOOP
RUSKIN, FL 33573-6743
United States

Phone: 239-682-7426 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthFLMH19052