Individual
DANIELA HERRERA CEBALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
410 CELEBRATION PL STE 402, CELEBRATION, FL 34747-5436
(407) 303-4080
Mailing address
410 CELEBRATION PL STE 402, CELEBRATION, FL 34747-5436
(407) 303-4080
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7885
MA
363A00000X
Physician Assistant
Primary
9114785
FL
Other
Enumeration date
04/23/2020
Last updated
01/04/2024
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