Healthcare Provider Details

I. General information

NPI: 1013709302
Provider Name (Legal Business Name): DANIEL JOSEPH HYATT APRN, FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2025
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 STRINGFELLOW RD STE 50
BOKEELIA FL
33922-3232
US

IV. Provider business mailing address

1305 SW 12TH TER
CAPE CORAL FL
33991-4622
US

V. Phone/Fax

Practice location:
  • Phone: 833-742-6276
  • Fax: 833-450-0911
Mailing address:
  • Phone: 239-770-1354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11039702
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: