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General NPI Number Information
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NPI Number | 1255983474
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Entity Type | Individual
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Provider Name | DANIELA PATRICIA TRELLES GARCIA MD
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Gender | Female
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Dates
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Enumeration Date | 07/09/2019
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 1255 STATE ROAD 60 E STE 300
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City | LAKE WALES
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State | FL
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Zip | 33853-4310
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Country | US
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Telephone | 863-421-7722
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Fax |
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Provider Business Mailing Address
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Address Line | 2623 SAGE VALLEY WAY
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City | WINTER HAVEN
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State | FL
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Zip | 33884-3371
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Country | US
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Telephone | 312-973-6878
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME171035
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License Number State | FL
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