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General NPI Number Information
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NPI Number | 1952064115
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Entity Type | Individual
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Provider Name | DANIEL SANTOS FRUTOS PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 10/14/2021
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 1434 GLENMORE DR
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City | APOPKA
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State | FL
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Zip | 32712-2024
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Country | US
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Telephone | 305-733-9525
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Fax | 305-470-7457
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Provider Business Mailing Address
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Address Line | 15233 NW 87TH CT
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City | MIAMI LAKES
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State | FL
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Zip | 33018-1359
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Country | US
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Telephone | 305-733-9525
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Fax | 305-470-7457
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11015901
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License Number State | FL
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