Healthcare Provider Details

I. General information

NPI: 1972416774
Provider Name (Legal Business Name): DANA MCINTEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

434 FLAGLER RD
WINTER HAVEN FL
33884-1024
US

IV. Provider business mailing address

434 FLAGLER RD
WINTER HAVEN FL
33884-1024
US

V. Phone/Fax

Practice location:
  • Phone: 863-287-9765
  • Fax:
Mailing address:
  • Phone: 863-287-9765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9617057
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: