Provider Demographics
NPI:1336750793
Name:MANIGAT, DANIA CLAUDE (APRN)
Entity type:Individual
Prefix:MS
First Name:DANIA
Middle Name:CLAUDE
Last Name:MANIGAT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:766 N SUN DR STE 2060
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-2553
Mailing Address - Country:US
Mailing Address - Phone:407-936-3860
Mailing Address - Fax:407-936-3866
Practice Address - Street 1:766 N SUN DR STE 2060
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2553
Practice Address - Country:US
Practice Address - Phone:407-936-3860
Practice Address - Fax:407-936-3866
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-10
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11008134363LF0000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL110797600Medicaid