Individual
JOHN DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 DOUGLAS AVE, ALTAMONTE SPRINGS, FL 32714-5206
(407) 830-6412
Mailing address
9213 SUMMIT CENTRE WAY, ORLANDO, FL 32810-5992
(407) 516-3983
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
—
—
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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