Healthcare Provider Details

I. General information

NPI: 1881516185
Provider Name (Legal Business Name): DAPHNY DASSAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 GERA AVE NW
PALM BAY FL
32907-8295
US

IV. Provider business mailing address

806 GERA AVE NW
PALM BAY FL
32907-8295
US

V. Phone/Fax

Practice location:
  • Phone: 954-826-4471
  • Fax:
Mailing address:
  • Phone: 954-826-4471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number200001287
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number20628
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: