Individual provider Active NPI

Daniel S Maswau, CERTFIED NURSE ASST

  • Developmental Disabilities Clinic/Center
  • Apopka, FL
National Provider Identifier
1205442993
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
103495600 Issued in FL
Practice address
625 Wekiva Crest Dr
Apopka, FL 32712-1476
Phone
(407) 371-2527
Fax
(407) 703-8152
NPI assigned
Sep 18, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 103495600 FL Primary

Addresses

Primary practice location

625 Wekiva Crest Dr
Apopka, FL 32712-1476

Mailing address

625 Wekiva Crest Dr
Apopka, FL 32712-1476
Phone (407) 371-2527

Other identifiers 1

IdentifierTypeStateIssuer
103495600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL APOPKA Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
103495600FLMDDevelopmental Disabilities Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Care, LLC CurrentSince Jan 1, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1205442993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 WEKIVA CREST DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327121476",
            "telephone_number": "407-371-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 WEKIVA CREST DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327121476",
            "telephone_number": "407-371-2527",
            "fax_number": "407-703-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASWAU",
        "first_name": "DANIEL",
        "middle_name": "S",
        "credential": "CERTFIED NURSE ASST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "FL",
            "license": "103495600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103495600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "APOPKA",
            "affiliation": "N",
            "endpointDescription": "CENTRAL FLORIDA CARE, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "APOPKA",
            "address_1": "625 Wekiva Crest Dr",
            "city": "Apopka",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327121476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.