MEDICARE: DANIELA ANDREW PRATO BS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1558762872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELA ANDREW PRATO BS

Provider Business Mailing Address
First Line	:	7431 LAKE ALBERT DR
Second Line	:
City	:	WINDERMERE
State	:	FL
Zip	:	34786-5920
Country	:	US
Telephone Number	:	407-860-1986
Fax Number	:

Provider Business Practice Location Address
First Line	:	7431 LAKE ALBERT DR
Second Line	:
City	:	WINDERMERE
State	:	FL
Zip	:	34786-5920
Country	:	US
Telephone Number	:	407-860-1986
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2014
Last Update Date	:	09/05/2014

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