Provider Demographics
NPI:1215740600
Name:BRIESER, DANIEL COVE
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:COVE
Last Name:BRIESER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8946 CR 702
Mailing Address - Street 2:
Mailing Address - City:CENTER HILL
Mailing Address - State:FL
Mailing Address - Zip Code:33514-4606
Mailing Address - Country:US
Mailing Address - Phone:727-900-9748
Mailing Address - Fax:
Practice Address - Street 1:365 CITRUS TOWER BLVD STE 106
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-6532
Practice Address - Country:US
Practice Address - Phone:321-276-5054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty