Organization Name: | DAYBREAK PEDIATRIC HOUSECALLS, P.A. |
NPI Number: | 1205130457 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | APRIL CHRISTINA HAUKOOS (PRESIDENT) |
Mailing Address: | 925 Northside Dr Mount Dora |
State: | FL US |
Postal Code: | 327572610 |
Phone Number: | 3523592757 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2011 |
NPI Last Update Date: | 01/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | ARNP3084852 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |