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Individual

DANIEL FASSETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.B.A.

Contact information

Practice address
1141 PATTERSON TER, LAKE MARY, FL 32746-2203
(844) 407-4070
(407) 743-3050
Mailing address
265 E ROLLINS ST STE 11100, ORLANDO, FL 32804-5570

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
036117618
IL
207T00000X
Neurological Surgery Physician
Primary
ME154265
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036-117618
STATE LICENSE
IL
Enumeration date
11/28/2006
Last updated
01/12/2026
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