Healthcare Provider Details

I. General information

NPI: 1275218786
Provider Name (Legal Business Name): DANIELLE PRATE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2023
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8839 BRYAN DAIRY RD STE 310
SEMINOLE FL
33777-1207
US

IV. Provider business mailing address

8839 BRYAN DAIRY RD STE 310
SEMINOLE FL
33777-1207
US

V. Phone/Fax

Practice location:
  • Phone: 727-279-0085
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11047786
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: