Provider Demographics
NPI:1932182672
Name:DAPHNIS, FRANDZIE (NP)
Entity type:Individual
Prefix:
First Name:FRANDZIE
Middle Name:
Last Name:DAPHNIS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 S HWY 27
Mailing Address - Street 2:SUITE E
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-2791
Mailing Address - Country:US
Mailing Address - Phone:352-243-9355
Mailing Address - Fax:352-243-9334
Practice Address - Street 1:711 S HWY 27
Practice Address - Street 2:SUITE E
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-2791
Practice Address - Country:US
Practice Address - Phone:352-243-9355
Practice Address - Fax:352-243-9334
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2114632ARNP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP86471Medicare UPIN
FLY067EZMedicare ID - Type Unspecified