Individual
MR. DANIEL WAYNE BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25097 OLYMPIA AVE STE 205, PUNTA GORDA, FL 33950-3912
(941) 347-8341
(941) 347-7702
Mailing address
1736 CLUB HOUSE RD, NORTH FORT MYERS, FL 33917-2518
(334) 328-5736
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11001033
FL
Other
Enumeration date
01/22/2019
Last updated
11/24/2020
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