Provider Demographics
NPI:1033959515
Name:LAMOUTTE, DAYLIN
Entity type:Individual
Prefix:
First Name:DAYLIN
Middle Name:
Last Name:LAMOUTTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3737 PEACOCK AVE APT 331
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2866
Mailing Address - Country:US
Mailing Address - Phone:786-801-4769
Mailing Address - Fax:
Practice Address - Street 1:3737 PEACOCK AVE APT 331
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33146-2866
Practice Address - Country:US
Practice Address - Phone:786-801-4769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11032953363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily