Individual
DANIELLE ALYSE MUNGOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3555
(941) 917-9000
Mailing address
10120 CORRIENTE CT, PALMETTO, FL 34221-2191
(386) 295-1543
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11002453
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114544100
—
FL
Enumeration date
05/29/2019
Last updated
02/03/2025
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